Individual provider Active NPI

Andrea Hiser

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1326460742
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A10470 Issued in NC
Practice address
1606 Physicians Dr Ste 104
Wilmington, NC 28401-7348
Phone
(910) 343-6890
NPI assigned
Jan 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A10470 NC Primary

Addresses

Primary practice location

1606 Physicians Dr Ste 104
Wilmington, NC 28401-7348

Mailing address

711 Arnold Rd
Wilmington, NC 28412-7734
Phone (910) 508-1579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A10470NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Path Counseling, PLLC Mental Health Current Accepting new patients

Locations

1606 Physicians Dr
Ste 104
Wilmington, NC 28401
Phone (910) 343-6890

Organizations & group practices 1

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": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1326460742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 ARNOLD RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284127734",
            "telephone_number": "910-508-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 PHYSICIANS DR STE 104",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017348",
            "telephone_number": "910-343-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISER",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A10470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.