One Heart Therapy PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1908 Issued in NC

Legal business name

ONE HEART THERAPY PLLC

Practice address

505 E Main St Ste 204
Clayton, NC 27520-2621

Phone

(919) 901-9123

NPI assigned

Mar 17, 2018

Last updated

Mar 17, 2018By 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

Cynthia J Shannon, LMFTNPI 1578731352

Title

Owner/Member

Phone

(919) 901-9123

Specialties & licenses 1

Addresses

Locations

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.

• Cynthia J Shannon, MS, LMFT

  • Marriage & Family Therapist
  • Clayton, NC
  • NPI 1578731352
  NPD Authorized official

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1336642107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WATSON CIR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275276677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E MAIN ST STE 204",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202621",
            "telephone_number": "919-901-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HEART THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-17",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "919-901-9123",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "1908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Akinyi Oburu
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• Emily Ortman, MPH, RD, LD
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• Michael Ray Owens, M.D.
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• Community/Behavioral Health Agency in Clayton, NC
• Providers in Clayton, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.