Active NPI
Cecillia Hardy, LPC, MS
- Professional Counselor
- Enterprise, AL
National Provider Identifier
1083329627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC05380
- Practice address
- 830 N Ouida St
Enterprise, AL 36330-2704 - Phone
- (334) 475-2422
- Fax
- (334) 475-2760
- NPI assigned
- Jan 18, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC05380 | AL | Primary |
Addresses
Primary practice location
830 N Ouida St
Enterprise, AL 36330-2704
Mailing address
830 N Ouida St
Enterprise, AL 36330-2704
Phone (334) 475-2422
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC05380 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730592000000",
"number": "1083329627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 N OUIDA ST",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302704",
"telephone_number": "334-475-2422",
"fax_number": "334-475-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 N OUIDA ST",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302704",
"telephone_number": "334-475-2422",
"fax_number": "334-475-2760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "CECILLIA",
"credential": "LPC, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-18",
"last_updated": "2024-11-03",
"certification_date": "2024-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "LPC05380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.