Individual provider Active NPI

Jaime Hardy, LPC

  • Mental Health Counselor
  • Forest, VA
National Provider Identifier
1306563283
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701011902 Issued in VA
Practice address
2001 Enterprise Dr
Forest, VA 24551-2653
Phone
(434) 386-8983
NPI assigned
Oct 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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 0701011902 VA Primary

Addresses

Primary practice location

2001 Enterprise Dr
Forest, VA 24551-2653

Mailing address

2001 Enterprise Dr
Forest, VA 24551-2653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240110002541 VA Practitioner - Mental Health Counselor 1153772546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701011902VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pediatric Counseling Mental Health CurrentSince Oct 23, 2022 Accepting new patients
Horizon Behavioral Health Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Center for Pediatric Therapies, Inc. Mental Health PastSince Oct 23, 2022 Accepting new patients

Locations

2001 Enterprise Dr
Forest, VA 24551
Phone (434) 386-8982

2215 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 948-4831

2235 Landover Pl
Lynchburg, VA 24501
Phone (434) 847-8000

Organizations & group practices 3

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": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1306563283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 ENTERPRISE DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ENTERPRISE DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512653",
            "telephone_number": "434-386-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "JAIME",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701011902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

Verify at the official NPI Registry.