Individual provider Active NPI

Heather Dawn Stover, LCMHCA

  • Professional Counselor
  • Shelby, NC
National Provider Identifier
1235763020
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A14734 Issued in NC
Practice address
1300C Gidney St
Shelby, NC 28150-6822
Phone
(704) 484-2558
Fax
(704) 484-2042
NPI assigned
Mar 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7335 SC
Professional Counselor 101YP2500X 7335 SC
Professional Counselor 101YP2500X A14734 NC Primary

Addresses

Primary practice location

1300C Gidney St
Shelby, NC 28150-6822

Mailing address

556 Bugger Hollow Rd
Ellenboro, NC 28040-9388
Phone (828) 305-4704

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dstover@respondersupport.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A14734NCMDProfessional Counselor
7335SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Responder Support Services Mental Health PastSince Mar 1, 2020 Accepting new patients
Children's Homes of Cleveland County Professional PastSince Aug 2, 2020 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1235763020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 BUGGER HOLLOW RD",
            "city": "ELLENBORO",
            "state": "NC",
            "postal_code": "280409388",
            "telephone_number": "828-305-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300C GIDNEY ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281506822",
            "telephone_number": "704-484-2558",
            "fax_number": "704-484-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVER",
        "first_name": "HEATHER",
        "middle_name": "DAWN",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7335",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7335",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A14734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dstover@respondersupport.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Practice E-mail",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Practice communication",
            "address_1": "556 Bugger Hollow Rd",
            "city": "Ellenboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280409388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.