Organization Active NPI

Pinehaven Psychotherapy, PLLC

  • Clinical Social Worker
  • Pinehurst, NC
National Provider Identifier
1285382564
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PINEHAVEN PSYCHOTHERAPY, PLLC
Practice address
222 Central Park Ave Ste E532
Pinehurst, NC 28374-8728
Phone
(910) 991-2170
NPI assigned
Mar 15, 2022
Last updated
Mar 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Erin Hoover, LCSWNPI 1164175204
Title
Psychotherapist/Owner
Phone
(512) 970-8353

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

222 Central Park Ave Ste E532
Pinehurst, NC 28374-8728

Mailing address

15 Wampanoag LN
Pinehurst, NC 28374-8840
Phone (512) 970-8353

National Provider Directory

National Provider Directory

Locations

222 Central Park Ave
Ste E532
Pinehurst, NC 28374
Phone (910) 991-2170

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1285382564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WAMPANOAG LN",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748840",
            "telephone_number": "512-970-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CENTRAL PARK AVE STE E532",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748728",
            "telephone_number": "910-991-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEHAVEN PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "512-970-8353",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.