NPIMap

Organization Active NPI

Healing Hearts Counseling Center

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1073869491
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7530 Issued in NC
Legal business name
HEALING HEARTS COUNSELING CENTER
Practice address
4014 Oleander Dr
Ste 3a BLDG D
Wilmington, NC 28403-6849
Phone
(910) 777-1866
Fax
(910) 777-5680
NPI assigned
Aug 3, 2012
Last updated
Aug 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Kristen D Rudy, MS, ATR, NCC, LPCNPI 1659543585
Title
Owner
Phone
(910) 777-1866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7530 NC Primary

Addresses

Primary practice location

4014 Oleander Dr
Ste 3a BLDG D
Wilmington, NC 28403-6849

Mailing address

4014 Oleander Dr
Ste 3a BLDG D
Wilmington, NC 28403-6849
Phone (910) 777-1866

Other identifiers 2

IdentifierTypeStateIssuer
154X1OtherNCBCBSNC
6104288MedicaidNC

Other names 1

  • Kristen D Rudy Sole MBR Other name

National Provider Directory

National Provider Directory

Locations

4014 Oleander Dr
Ste 3A
Wilmington, NC 28403
Phone (910) 777-1866

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1073869491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 OLEANDER DR",
            "address_2": "STE 3A BLDG D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036849",
            "telephone_number": "910-777-1866",
            "fax_number": "910-777-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 OLEANDER DR",
            "address_2": "STE 3A BLDG D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036849",
            "telephone_number": "910-777-1866",
            "fax_number": "910-777-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEARTS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "RUDY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-777-1866",
        "authorized_official_credential": "MS, ATR, NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "154X1",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104288",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kristen D Rudy Sole MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.