Individual provider Active NPI

Andrea Marsh Hayes, LCMHC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1336677897
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S11247 Issued in NC
Practice address
2543 Ravenhill Dr Ste B
Fayetteville, NC 28303-5459
Phone
(910) 339-9003
Fax
(910) 491-8552
NPI assigned
May 30, 2017
Last updated
Jan 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2026

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 S11247 NC Primary

Addresses

Primary practice location

2543 Ravenhill Dr Ste B
Fayetteville, NC 28303-5459

Mailing address

2543 Ravenhill Dr Ste B
Fayetteville, NC 28303-5459
Phone (910) 689-6558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20260114002104 GA Practitioner - Mental Health Counselor 9133531403 Reassigns benefits to 1 organization
I20260116003802 TX Practitioner - Mental Health Counselor 9133531403 Reassigns benefits to 1 organization
I20260204000195 NC Practitioner - Mental Health Counselor 9133531403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S11247NCMDMental Health Counselor
11247NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rivers of Peace Counseling Services, PLLC CurrentSince Nov 22, 2020 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Dec 12, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

2543 Ravenhill Dr
Ste B
Fayetteville, NC 28303
Phone (910) 339-1928

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1336677897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 RAVENHILL DR STE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035459",
            "telephone_number": "910-689-6558",
            "fax_number": "833-973-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2543 RAVENHILL DR STE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035459",
            "telephone_number": "910-339-9003",
            "fax_number": "910-491-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "ANDREA",
        "middle_name": "MARSH",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S11247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.