Individual provider Active NPI

Rachel Viola Mardre Hammer, LCMHC

  • Professional Counselor
  • Lincolnton, NC
National Provider Identifier
1003223868
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10845 Issued in NC
Practice address
117 N Poplar St
Lincolnton, NC 28092-3315
Phone
(704) 754-4726
Fax
(704) 754-4726
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A10845 NC
Professional Counselor 101YP2500X 10845 NC Primary

Addresses

Primary practice location

117 N Poplar St
Lincolnton, NC 28092-3315

Mailing address

117 N Poplar St
Lincolnton, NC 28092-3315
Phone (704) 754-4726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10845NCMDProfessional Counselor
A10845NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Live N Joy Counseling Services, PC CurrentSince Jul 20, 2021 Accepting new patients

Locations

117 N Poplar St
Lincolnton, NC 28092
Phone (704) 754-4726

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1003223868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N POPLAR ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923315",
            "telephone_number": "704-754-4726",
            "fax_number": "704-754-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N POPLAR ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923315",
            "telephone_number": "704-754-4726",
            "fax_number": "704-754-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "RACHEL",
        "middle_name": "VIOLA MARDRE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A10845",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.