Kelly Jo Hart, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13233 Issued in NC

Practice address

3149 Old Clarksville Spgfld Rd
Adams, TN 37010-8908

Phone

(910) 644-2410

NPI assigned

Aug 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hart of the Matter Inc

  • Counselor
  • Adams, TN
  • NPI 1689404352
  NPD Authorized official

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1437342425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 OLD CLARKSVILLE SPGFLD RD",
            "city": "ADAMS",
            "state": "TN",
            "postal_code": "370108908",
            "telephone_number": "910-644-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 OLD CLARKSVILLE SPGFLD RD",
            "city": "ADAMS",
            "state": "TN",
            "postal_code": "370108908",
            "telephone_number": "910-644-2410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 Masterpiece Dr",
            "address_purpose": "LOCATION",
            "city": "Hope Mills",
            "state": "NC",
            "postal_code": "283487518",
            "country_code": "US",
            "telephone_number": "910-717-1267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Arsenal Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283055478",
            "country_code": "US",
            "telephone_number": "910-323-3368",
            "fax_number": "910-486-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "KELLY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "6609",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "19353",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "13233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "6609",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "13233",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "19353",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Todd Crouse, M.D.
• Cynthia Ann Ellsworth, BCBA
• Steven Fredrick Gertonson, CRNA
• Rene Nicole Gramlick, MS, RD, LDN
• Hart of the Matter Inc
• Sydney Nicole Huff
• Casi Anne Miller
• Skylar Riley Miller
• Oak Pointe LLC
• Jennifer Jean Parrish, MED.

• All providers in Adams, TN
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.