Misty Dawn Humphries, LCHMC-A, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A15771 Issued in NC

Practice address

1205 S Main St
Burlington, NC 27215-5762

Phone

(336) 270-9278

NPI assigned

Jun 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Just Be Counseling and Wellness, PLLC

  • Group Psychotherapy Psychologist
  • Burlington, NC
  • NPI 1134944515
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1154947125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 RETREAT LN APT 1F",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158541",
            "telephone_number": "336-270-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S MAIN ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155762",
            "telephone_number": "336-270-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "credential": "LCHMC-A, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Colleen Huffman, BA, CLC
• Bryson Semaj Hughes-Washington
• Hurey Lee Hughes, LCSWA
• Allison Hughey
• Karyann Erika Hull, NBC-HWC
• Jason David Huprich, DPT
• Amanda Hutcherson, RN
• Renee Denise Hux
• Max Todd Hyatt, DPM
• Rachel Hazelwood Hyler, NP-C

• Mental Health Counselor in Burlington, NC
• Providers in Burlington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.