The Healing Place of NC, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

THE HEALING PLACE OF NC, INC.

Practice address

823 Elm St Ste 200
Fayetteville, NC 28303-4164

Phone

(646) 588-8176

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Connie Kern, LCMHC, NCRED, NBCRNPI 1215346283

Title

Ceo

Phone

(646) 588-8176

Specialties & licenses 6

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Connie Kern, NCC, LCMHC, NBCR

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1215346283
  NPD Authorized official

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1366220881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 ELM ST STE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034164",
            "telephone_number": "646-588-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 ELM ST STE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034164",
            "telephone_number": "646-588-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING PLACE OF NC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-16",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-588-8176",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCMHC, NCRED, NBCR"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Carrolton of Fayetteville, LLC (The Carrolton of Fayetteville)
• The Carter Clinic, PA
• The Center for Health and Restoration, Inc. (Health and Restoration)
• The Conversation Location PLLC
• The Ferncreek Group PLLC
• The Integrity Nurse Consultants LLC (Integrated Wellness Care Management Solutions)
• The Janice Mae Hawkins Foundation (S & S Spoonridge #2)
• The Janice Mae Hawkins Foundation Inc (S & S Spoonridge Group Home)
• The Janice Mae Hawkins Foundation Inc (S & S Associates Private Duty Nursing)
• The Janice Mae Hawkins Foundation, Inc. (S & S Spoonridge PSR Program)

• Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.