Active NPI
Mandy Nichole Hart, LPC
- Mental Health Counselor
- Silverthorne, CO
National Provider Identifier
1124106372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 18336
- Practice address
- 358 Blue River Pkwy Unit E-95
Silverthorne, CO 80498-5558 - Phone
- (512) 431-4558
- Fax
- (512) 777-2982
- NPI assigned
- Nov 2, 2006
- Last updated
- Mar 15, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 18336 | TX | Primary |
Addresses
Primary practice location
358 Blue River Pkwy Unit E-95
Silverthorne, CO 80498-5558
Mailing address
PO Box 2301-95
Silverthorne, CO 80498-9218
Phone (512) 431-4558
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
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Pflugerville, TX
- NPI 1477830529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1124106372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2301-95",
"city": "SILVERTHORNE",
"state": "CO",
"postal_code": "804989218",
"telephone_number": "512-431-4558",
"fax_number": "512-777-2982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "358 BLUE RIVER PKWY UNIT E-95",
"city": "SILVERTHORNE",
"state": "CO",
"postal_code": "804985558",
"telephone_number": "512-431-4558",
"fax_number": "512-777-2982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "MANDY",
"middle_name": "NICHOLE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2022-03-15",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "18336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silverthorne, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.