Homestead Healing

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HOMESTEAD HEALING

Practice address

118 W Market St
Hertford, NC 27944-1151

Phone

(252) 582-6072

NPI assigned

Oct 27, 2021

Last updated

Nov 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Haley Pippins, LCMHCA, LCASA

Title

Owner

Phone

(252) 582-6072

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Haley Pippins Damron, LCMHCA, LCASA

  • Mental Health Counselor
  • Hertford, NC
  • NPI 1588328330
  NPD
• Sarah Jordan, BSW, MSW, LCSW-A

  • Clinical Social Worker
  • Hertford, NC
  • NPI 1053131425
  NPD

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1295499051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W MARKET ST",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "279441151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W MARKET ST",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "279441151",
            "telephone_number": "252-582-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "PIPPINS",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-582-6072",
        "authorized_official_credential": "LCMHCA, LCASA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy Mind Counseling PLLC
• Hertford Healthcare, LLC (Hertford Assisted Living)
• Hertford Manor
• Hertford Manor
• Hertford Opco LLC
• Aubrey Leigh Houston, SLP
• Intensive Mental Care Inc (Intensive Rehab-Health Services)
• Emmy Gardner Isbell
• Jack L. Boone, DDS, PA
• Sarah Jordan, BSW, MSW, LCSW-A

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hertford, NC
• Providers in Hertford, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.