Active NPI
Amy Lynn Hooper, M.ED, NCC, LCMHC
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1053681510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8024
- Practice address
- 769 N Wendover Rd
Charlotte, NC 28211-1118 - Phone
- (704) 376-7180
- NPI assigned
- Dec 30, 2011
- Last updated
- Nov 20, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8024 | NC | |
| Professional Counselor | 101YP2500X | 8024 | NC | Primary |
Addresses
Primary practice location
769 N Wendover Rd
Charlotte, NC 28211-1118
Mailing address
6800 Saint Peters LN
Matthews, NC 28105-8458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8024 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1053681510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 SAINT PETERS LN",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281058458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "769 N WENDOVER RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111118",
"telephone_number": "704-376-7180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOPER",
"first_name": "AMY",
"middle_name": "LYNN",
"credential": "M.ED, NCC, LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-30",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8024",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.