Active NPI
Hiza Benita Maria Jackson-Price, MA, LPC, LCAS
- Professional Counselor
- Holly Ridge, NC
National Provider Identifier
1093065484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7680
- Practice address
- 115 Seaward Dr
Holly Ridge, NC 28445-7998 - Phone
- (910) 265-1235
- NPI assigned
- Sep 13, 2012
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2368 | NC | |
| Professional Counselor | 101YP2500X | 7680 | NC | Primary |
Addresses
Primary practice location
115 Seaward Dr
Holly Ridge, NC 28445-7998
Mailing address
455 E Jefferson St
Butler, PA 16001-4724
Phone (910) 265-1235
Other practice location 1
455 E Jefferson St
Butler, PA 16001-4724
Phone (910) 265-1235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093065484 | Other | NC | NATIONAL PROVIDER IDENTIFIER ENUMERATOR |
Other names 1
- Hiza Benita Maria Jackson-Price
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7680 | NC | MD | Professional Counselor |
| 2368 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549152000000",
"number": "1093065484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 E JEFFERSON ST",
"city": "BUTLER",
"state": "PA",
"postal_code": "160014724",
"telephone_number": "910-265-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 SEAWARD DR",
"city": "HOLLY RIDGE",
"state": "NC",
"postal_code": "284457998",
"telephone_number": "910-265-1235"
}
],
"practiceLocations": [
{
"address_1": "455 E Jefferson St",
"address_purpose": "LOCATION",
"city": "Butler",
"state": "PA",
"postal_code": "160014724",
"country_code": "US",
"telephone_number": "910-265-1235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON-PRICE",
"first_name": "HIZA",
"middle_name": "BENITA MARIA",
"credential": "MA, LPC, LCAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-13",
"last_updated": "2019-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "2368",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PROVIDER IDENTIFIER ENUMERATOR",
"identifier": "1093065484",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HIZA",
"last_name": "JACKSON-PRICE",
"middle_name": "BENITA MARIA",
"credential": "MA, LPC, LCAS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Holly Ridge, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.