Active NPI
Danielle Hearn, LSW, CMHT, CCSS
- Counselor
- Tupelo, MS
National Provider Identifier
1376068437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2434 S Eason Blvd
Tupelo, MS 38804-6942 - Phone
- (662) 640-4595
- Fax
- (662) 680-6416
- NPI assigned
- Aug 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2434 S Eason Blvd
Tupelo, MS 38804-6942
Mailing address
2525 Youree Dr Ste 110
Shreveport, LA 71104-3600
Phone (318) 742-3408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00018203 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dhearn@lifecorehealthgroup.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1376068437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 YOUREE DR STE 110",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711043600",
"telephone_number": "318-742-3408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2434 S EASON BLVD",
"city": "TUPELO",
"state": "MS",
"postal_code": "388046942",
"telephone_number": "662-640-4595",
"fax_number": "662-680-6416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARN",
"first_name": "DANIELLE",
"name_prefix": "Miss",
"credential": "LSW, CMHT, CCSS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-10",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00018203",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dhearn@lifecorehealthgroup.com",
"affiliation": "N",
"address_1": "2434 S Eason Blvd",
"city": "Tupelo",
"state": "MS",
"country_code": "US",
"postal_code": "388046942",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.