Michelle Monica Hartis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C12833 Issued in NC

Practice address

32 N Main St
Belmont, NC 28012-3162

Phone

(330) 635-4940

NPI assigned

Sep 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Quiet Willow, PLLC

  • Mental Health Counselor
  • Mount Holly, NC
  • NPI 1992688139
  NPD Authorized official
• Life Enhancements Inc.

  • Mental Health Counselor
  • Belmont, NC
  • NPI 1801062468
  NPD (past)
• Remedy Sense Counseling, PLLC

  • Professional Counselor
  • Mount Holly, NC
  • NPI 1861121832

  Clinical

  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1063409787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WHEAT FIELD DR",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281208803",
            "telephone_number": "330-635-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 N MAIN ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123162",
            "telephone_number": "330-635-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTIS",
        "first_name": "MICHELLE",
        "middle_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I8651",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C12833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taressa Gillig Haney, M.D.
• Haley Hanke
• Kendall Lane Harper
• Harris Teeter LLC
• Christian Keith Hart, DDS
• James Thomas Hartness
• Sarah Elizabeth Hawkins
• Renee Christine Hayes, APRN
• Selassie Hayibor, RPH
• Ann Chapman Haynes, AG-PCNP, MSN, RN

• Clinical Social Worker in Belmont, NC
• Providers in Belmont, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; 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.

Verify at the official NPI Registry.