Organization Active NPI

Spirit Song, LLC

  • Community/Behavioral Health Agency
  • Hickory, NC
National Provider Identifier
1427338086
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SPIRIT SONG, LLC
Practice address
922 3Rd Ave NW
Hickory, NC 28601-4849
Phone
(828) 324-4668
Fax
(828) 324-4748
NPI assigned
Aug 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
Ms. Sara Nafziger-Shelly, LCSW, BCD, MSW
Title
Owner, Child/Adolescent Therapist
Phone
(828) 324-4668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

922 3Rd Ave NW
Hickory, NC 28601-4849

Mailing address

922 3Rd Ave NW
Hickory, NC 28601-4849
Phone (828) 324-4668

Other identifiers 1

IdentifierTypeStateIssuer
6002094MedicaidNC

National Provider Directory

National Provider Directory

Locations

922 3rd Ave NW
Hickory, NC 28601
Phone (828) 324-4668

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1427338086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 3RD AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014849",
            "telephone_number": "828-324-4668",
            "fax_number": "828-324-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 3RD AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014849",
            "telephone_number": "828-324-4668",
            "fax_number": "828-324-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT SONG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "NAFZIGER-SHELLY",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER, CHILD/ADOLESCENT THERAPIST",
        "authorized_official_telephone_number": "828-324-4668",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, BCD, MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002094",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.