Organization Active NPI

Heart to Heart Counseling and Life Enrichment Services

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1184009680
Registry record updated Jul 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007865 Issued in NC
Legal business name
HEART TO HEART COUNSELING AND LIFE ENRICHMENT SERVICES
Practice address
120 Westlake Rd Ste 3
Fayetteville, NC 28314-4451
Phone
(910) 578-6408
NPI assigned
Jul 25, 2015
Last updated
Jul 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2015

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

Authorized official

Name
Veronica Dawson-Melton, LCSW
Title
Owner
Phone
(910) 578-6408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C007865 NC Primary

Addresses

Primary practice location

120 Westlake Rd Ste 3
Fayetteville, NC 28314-4451

Mailing address

6664 Foxberry Rd
Fayetteville, NC 28314-1882
Phone (910) 578-6408

Other identifiers 2

IdentifierTypeStateIssuer
1417268590MedicaidNC
Q45418AOtherNCMEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437782400000",
    "number": "1184009680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6664 FOXBERRY RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141882",
            "telephone_number": "910-578-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WESTLAKE RD STE 3",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283144451",
            "telephone_number": "910-578-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART TO HEART COUNSELING AND LIFE ENRICHMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-25",
        "last_updated": "2015-07-25",
        "status": "A",
        "authorized_official_last_name": "DAWSON-MELTON",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-578-6408",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417268590",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q45418A",
            "state": "NC"
        }
    ],
    "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 Jul 25, 2015; 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.