Active NPI
Hearthside Therapy and Wellness, PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hickory, NC
National Provider Identifier
1417527839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- HEARTHSIDE THERAPY AND WELLNESS, PLLC
- Practice address
- 2325 25TH Avenue CT NE
Hickory, NC 28601-9103 - Phone
- (828) 237-1760
- Fax
- (828) 579-2760
- NPI assigned
- Jun 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela J Schultz, LCSW
- Title
- Owner, Therapist
- Phone
- (828) 237-1760
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2325 25TH Avenue CT NE
Hickory, NC 28601-9103
Mailing address
PO Box 3240
Hickory, NC 28603-3240
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Hickory, NC
- NPI 1750632733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686009600000",
"number": "1417527839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3240",
"city": "HICKORY",
"state": "NC",
"postal_code": "286033240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 25TH AVENUE CT NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286019103",
"telephone_number": "828-237-1760",
"fax_number": "828-579-2760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTHSIDE THERAPY AND WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-28",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A",
"authorized_official_last_name": "SCHULTZ",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER, THERAPIST",
"authorized_official_telephone_number": "828-237-1760",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
- Healthstat Onsite Clinic HSM Metal
- Healthstat Onsite Clinic HSM-Dependent Clinic
- Healthy Lymphatics of NC PC
- Brian Paul Hearon, M.D.
- Heart of Peace Counseling, PLLC
- Annette Gwaltney Heavner, DNP, FNP
- Samantha Heckman
- Amanda Souther Hector, LPCA
- Diann Ellner Sailors Hedrick, NP
- Monica Young Hedrick, LPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.