Organization Active NPI

Heart to Heart Counseling and Wellness Center, PLLC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1154797082
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEART TO HEART COUNSELING AND WELLNESS CENTER, PLLC
Practice address
5845 Yadkin Rd Unit D
Fayetteville, NC 28303-2656
Phone
(910) 867-4417
Fax
(910) 302-7479
NPI assigned
Aug 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Dr. Shenae Lasandra Whitehead, PHD, MA, LPA, LCMHCSNPI 1609146380
Title
Owner
Phone
(910) 867-4417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Community/Behavioral Health Agency 251S00000X 8992 NC

Addresses

Primary practice location

5845 Yadkin Rd Unit D
Fayetteville, NC 28303-2656

Mailing address

5845 Yadkin Rd Unit D
Fayetteville, NC 28303-2656
Phone (910) 867-4417

Other practice location 1

506 Balsey St
Clinton, NC 28328-2902
Phone (910) 490-1377

National Provider Directory

National Provider Directory

Locations

506 Balsey St
Clinton, NC 28328
Phone (910) 490-1377

245 Westlake Rd
Ste 100
Fayetteville, NC 28314

2940 Breezewood Ave
Ste 100
Fayetteville, NC 28303

245 Westlake Rd
Ste 101
Fayetteville, NC 28314
Phone (910) 867-4417

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1154797082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5845 YADKIN RD UNIT D",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032656",
            "telephone_number": "910-867-4417",
            "fax_number": "910-302-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5845 YADKIN RD UNIT D",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032656",
            "telephone_number": "910-867-4417",
            "fax_number": "910-302-7479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 Balsey St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NC",
            "postal_code": "283282902",
            "country_code": "US",
            "telephone_number": "910-490-1377",
            "fax_number": "910-302-7479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEART TO HEART COUNSELING AND WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "SHENAE",
        "authorized_official_middle_name": "LASANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-867-4417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MA, LPA, LCMHCS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "8992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.