Jesse Demetrius Hinton

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

2020-7463-01 Issued in NC

Practice address

1111 Gorrell St
Greensboro, NC 27406-1904

Phone

(336) 291-8333

Fax

(336) 233-2234

NPI assigned

Jan 14, 2025

Last updated

Jan 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connecting Bridges LLC.

  • Addiction (Substance Use Disorder) Counselor
  • Pleasant Garden, NC
  • NPI 1699356725
  NPD
• Second Chance Transitional Housing, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Greensboro, NC
  • NPI 1801606512
  NPD

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1326858036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2774 WAYNE WHITE RD",
            "city": "PLEASANT GARDEN",
            "state": "NC",
            "postal_code": "273138157",
            "telephone_number": "910-273-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GORRELL ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274061904",
            "telephone_number": "336-291-8333",
            "fax_number": "336-233-2234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "919 S Cox St Ste B2",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272036493",
            "country_code": "US",
            "telephone_number": "336-628-0047",
            "fax_number": "336-628-0047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINTON",
        "first_name": "JESSE",
        "middle_name": "DEMETRIUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NC",
            "license": "2020-7463-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Scott Hinkle, PH.D.
• Stephen P Hinman, PA
• Collin Fisher Hinnant, PA-C
• Leah McKinnley Hinshaw, PTA
• Sarah Louise Hinshaw, OTD, OTR/L
• Thane C. Hisaw, DMD
• Kelsey Jane Hiscock
• Eric Hite
• Pauline Hixson, MD
• Hlee Programs

• Peer Specialist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Peer Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.