Mya Hargrove

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A21482 Issued in NC

Practice address

1380 Heritage Pointe Dr Apt 203
Winston Salem, NC 27127-6098

Phone

(336) 803-2733

NPI assigned

Apr 3, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748736000000",
    "number": "1164226460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 HERITAGE POINTE DR APT 203",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271276098",
            "telephone_number": "336-803-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 HERITAGE POINTE DR APT 203",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271276098",
            "telephone_number": "336-803-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "MYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-06-01",
        "certification_date": "2025-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Leigh Hardy, NP
• Eliza Claire Hardy, MD
• Kenyetta Hardy, LCSW
• Samantha Hardy, RN, CRNA
• Mitchell James Hargis, MD
• Prakash Harikrishnan
• David Harker, M.D.
• Madeline Grace Harkins, PA
• Paul Channing Harkins, MD
• Jineida Harkness

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, 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 1, 2025; 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.