Active NPI
Hotch Healing PLLC
- Adult Mental Health Clinic/Center
- Wake Forest, NC
National Provider Identifier
1174249403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- HOTCH HEALING PLLC
- Practice address
- 833 Business Park East
Wake Forest, NC 27587 - Phone
- (914) 584-8350
- NPI assigned
- Oct 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crystal Hotchkin, LCSW
- Title
- Therapist
- Phone
- (914) 584-8350
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
833 Business Park East
Wake Forest, NC 27587
Mailing address
1133 Buttercup LN
Wake Forest, NC 27587-7136
Phone (914) 584-8350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1666051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666051200000",
"number": "1174249403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 BUTTERCUP LN",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275877136",
"telephone_number": "914-584-8350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 BUSINESS PARK EAST",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "27587",
"telephone_number": "914-584-8350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOTCH HEALING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-12",
"status": "A",
"authorized_official_last_name": "HOTCHKIN",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "914-584-8350",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.