Active NPI
Larry Lonel Hines, PH.D.
- Psychologist
- Greenville, NC
National Provider Identifier
1003972050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1468
- Practice address
- 2245 Stantonsburg Rd
Greenville, NC 27834-2868 - Phone
- (252) 258-5920
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1468 | NC | Primary |
Addresses
Primary practice location
2245 Stantonsburg Rd
Greenville, NC 27834-2868
Mailing address
200 Oak Branches Close
Winterville, NC 28590-9562
Phone (252) 258-5920
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1468 | Other | NC | NC LICENSE NUMBER |
| 6000392 | Medicaid | NC | |
| 03196 | Other | NC | BCBS ID NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1468 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Carolina Health Resources | Past | Accepting new patients | |
| Eastern Carolina Health Resources | Past | Accepting new patients | |
| Eastern Carolina Health Resources | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Psychologist
- New Bern, NC
- NPI 1588782692
-
- Community/Behavioral Health Agency
- Kinston, NC
- NPI 1669620282
-
- Community/Behavioral Health Agency
- Bayboro, NC
- NPI 1780833269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1003972050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OAK BRANCHES CLOSE",
"city": "WINTERVILLE",
"state": "NC",
"postal_code": "285909562",
"telephone_number": "252-258-5920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 STANTONSBURG RD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342868",
"telephone_number": "252-258-5920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "LARRY",
"middle_name": "LONEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC LICENSE NUMBER",
"identifier": "1468",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000392",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID NUMBER",
"identifier": "03196",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.