Organization Active NPI

LDH Counseling & Consulting PLLC

  • Professional Counselor
  • Shelby, NC
National Provider Identifier
1407373293
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11893 Issued in NC
Legal business name
LDH COUNSELING & CONSULTING PLLC
Practice address
213 Patton Dr Ste B
Shelby, NC 28150-4696
Phone
(980) 465-2533
Fax
(704) 419-2065
NPI assigned
Aug 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Yolanda Nicholette Hall, MS, LCMHC, LCAS-A
Title
Ms, Lcmhc, Lcas-a/Owner
Phone
(704) 419-3760

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 11893 NC Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 22796 NC
Adult Mental Health Clinic/Center 261QM0850X 11893 NC

Addresses

Primary practice location

213 Patton Dr Ste B
Shelby, NC 28150-4696

Mailing address

213 Patton Dr Ste B
Shelby, NC 28150-4696
Phone (704) 419-3760

Other practice location 1

433 N Piedmont Ave Ste B
Kings Mountain, NC 28086-2440
Phone (980) 465-2533

Other practice location 2

331 S Washington St Ste 203
Shelby, NC 28150-5450
Phone (980) 465-2533

Other identifiers 2

IdentifierTypeStateIssuer
11893OtherNCLPC
22796OtherNCLCAS-A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241205000222 NC Part B Supplier - Clinic/Group Practice 9931635661 Receives reassigned benefits from 1 practitioner
Practice locations: Shelby, NC

National Provider Directory

National Provider Directory

Locations

433 N Piedmont Ave
Ste B
Kings Mountain, NC 28086
Phone (980) 465-2533

213 Patton Dr
Ste B
Shelby, NC 28150
Phone (980) 465-2533

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1407373293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 PATTON DR STE B",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504696",
            "telephone_number": "704-419-3760",
            "fax_number": "704-419-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 PATTON DR STE B",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504696",
            "telephone_number": "980-465-2533",
            "fax_number": "704-419-2065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 N Piedmont Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Kings Mountain",
            "state": "NC",
            "postal_code": "280862440",
            "country_code": "US",
            "telephone_number": "980-465-2533",
            "fax_number": "704-419-2065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 S Washington St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281505450",
            "country_code": "US",
            "telephone_number": "980-465-2533",
            "fax_number": "704-419-2065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LDH COUNSELING & CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "NICHOLETTE",
        "authorized_official_title_or_position": "MS, LCMHC, LCAS-A/OWNER",
        "authorized_official_telephone_number": "704-419-3760",
        "authorized_official_credential": "MS, LCMHC, LCAS-A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11893",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "22796",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "11893",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "11893",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCAS-A",
            "identifier": "22796",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.