Heart Smart

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008952 Issued in GA

Legal business name

HEART SMART

Practice address

2487 Demere Rd
Suite 500
St Simons Island, GA 31522-5639

Phone

(912) 401-5969

NPI assigned

Jan 24, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Douglas Hendrix, LPCNPI 1356695282

Title

Therapist

Phone

(912) 401-5969

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.

• Stephen D. Hendrix, LPC

  • Professional Counselor
  • St Simons Island, GA
  • NPI 1356695282
  NPD (past) Authorized official

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1407393796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20832",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315220432",
            "telephone_number": "912-401-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2487 DEMERE RD",
            "address_2": "SUITE 500",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315225639",
            "telephone_number": "912-401-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART SMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "912-401-5969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Haile, LCSW
• Michael K Hamm, D.O.
• Violet Harrigan
• Joan E Harrington
• Ronald R. Hart, PH.D.
• Lee Bruce Heery, MD
• Albert Eben Henderson, MD
• Stephen D. Hendrix, LPC
• John Arthur Hendry, D.D.S.
• Laura Hepner, LMT; MR; CST

• Professional Counselor in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.