Shirley Hart, DIRECTOR

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

708 N Jackson St
Raeford, NC 28376-2218

Phone

(910) 273-6137

NPI assigned

Jun 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1265058341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E ELWOOD AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762940",
            "telephone_number": "910-273-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N JACKSON ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762218",
            "telephone_number": "910-273-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "SHIRLEY",
        "credential": "DIRECTOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57-1203135",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Hanley, ATR-P, LCMHC-A
• Happy Kids Pediatric Housecalls
• Jennifer Magouirk Harbuck
• Alana Kelly Harned
• Charmaine Beatrice Harrington, PHD
• Muneer Naji Hassan, MD
• Desiree Cherise Hastings
• Shalena Natasha Hauser, BSW
• Amabel Hawkins
• Phyllis Rose Hawkins, LMBT

• Addiction (Substance Use Disorder) Counselor in Raeford, NC
• Providers in Raeford, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

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