Active NPI
Gwen Hammonds, LPC
- Counselor
- Lumberton, NC
National Provider Identifier
1033426085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3053
- Practice address
- 2883 Deep Branch Rd
Lumberton, NC 28360-4904 - Phone
- (910) 608-2311
- NPI assigned
- Sep 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3053 | NC | Primary |
| Counselor | 101Y00000X | 54834 | NC |
Addresses
Primary practice location
2883 Deep Branch Rd
Lumberton, NC 28360-4904
Mailing address
2883 Deep Branch Rd
Lumberton, NC 28360-4904
Phone (910) 608-2311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6104569 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3053 | NC | MD | Counselor |
| 54834 | NC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1033426085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2883 DEEP BRANCH RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283604904",
"telephone_number": "910-608-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2883 DEEP BRANCH RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283604904",
"telephone_number": "910-608-2311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMONDS",
"first_name": "GWEN",
"name_prefix": "Miss",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-10",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "3053",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "54834",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6104569",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.