Individual provider Active NPI

Heather Michelle Scarboro, LPC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1255734851
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10893 Issued in NC
Practice address
1404 Raeford Rd
Fayetteville, NC 28305-5028
Phone
(336) 324-8934
NPI assigned
Sep 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 10893 NC Primary

Addresses

Primary practice location

1404 Raeford Rd
Fayetteville, NC 28305-5028

Mailing address

PO Box 58581
Fayetteville, NC 28305-8581
Phone (336) 324-8934

Other practice location 1

102 Tilghman Dr
Dunn, NC 28334-5533
Phone (910) 892-5839

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240201004250 NC Practitioner - Mental Health Counselor 4981057205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Selves Therapeutics PLLCGroup PAC ID 1254784572, 2 clinicians

Practice addresses (Care Compare)

1404 Raeford Rd
Fayetteville, NC 28305-5028
Phone (336) 324-8934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10893NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Selves Therapeutics, PLLC Mental Health CurrentSince May 30, 2019 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Dunn Psychological Associates, PA Past Accepting new patients
Peoples Therapy Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: heatherscarboro@tdh.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1411776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1255734851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58581",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283058581",
            "telephone_number": "336-324-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055028",
            "telephone_number": "336-324-8934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Tilghman Dr",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283345533",
            "country_code": "US",
            "telephone_number": "910-892-5839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCARBORO",
        "first_name": "HEATHER",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-27",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.