Healing Reflections, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEALING REFLECTIONS, PLLC

Practice address

350 Shaw Ave
Southern Pines, NC 28387-6237

Phone

(910) 580-8280

Fax

(910) 304-5633

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Jessica Grider, LCSWNPI 1558886366

Title

LCSW

Phone

(910) 580-8280

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Gail Grider, MSW

  • Clinical Social Worker
  • Winter Park, FL
  • NPI 1558886366

  NC

  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Moretz, LCSW

  • Clinical Social Worker
  • Southern Pines, NC
  • NPI 1285365353
  Medicare reassignment Care Compare group NPD
• Peter Boghdadi, MS

  • Mental Health Counselor
  • Southern Pines, NC
  • NPI 1083969521
  NPD
• Tammy L Hamann, LCSW

  • Clinical Social Worker
  • Rockingham, NC
  • NPI 1104691336

  Mental Health

  NPD
• Edward David Owsiany, MSW

  • Clinical Social Worker
  • Southern Pines, NC
  • NPI 1033907175
  NPD

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1104496678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SHAW AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283876237",
            "telephone_number": "910-580-8280",
            "fax_number": "910-304-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SHAW AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283876237",
            "telephone_number": "910-580-8280",
            "fax_number": "910-304-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING REFLECTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "GRIDER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "910-580-8280",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "M148",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Hartsel
• Stephanie Berg Harvell, PTA
• Courtney Louretta Hayes
• Haymount Institute for Psychological Services P
• Jessica Leigh Haywood, FNP
• Healstride Physical Therapy LLC
• Health Innovations of Sanford, Inc.
• Health Innovations Pharmacy Inc
• Health Innovations Pharmacy, Inc.
• Kaylie Alexandra Hebert, LMBT

• Clinical Social Worker in Southern Pines, NC
• Providers in Southern Pines, 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 Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.