Individual provider Active NPI

Heather A Hayes, LPCA

  • Mental Health Counselor
  • Morganton, NC
National Provider Identifier
1477062263
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A13302 Issued in NC
Practice address
617 S Green St Ste 300
Morganton, NC 28655-3693
Phone
(828) 437-3000
Fax
(828) 437-4999
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A13302 NC Primary

Addresses

Primary practice location

617 S Green St Ste 300
Morganton, NC 28655-3693

Mailing address

PO Box 1536
Morganton, NC 28680-1536
Phone (828) 437-3000

Other identifiers 1

IdentifierTypeStateIssuer
A13302OtherNCLICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325002608 NC Practitioner - Mental Health Counselor 7012354186 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A13302NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Norman Family Therapy, PLLC Mental Health CurrentSince Feb 11, 2024 Accepting new patients

Locations

19900 S Main St
Ste 8
Cornelius, NC 28031

19900 S Main St
Ste 89
Cornelius, NC 28031
Phone (704) 892-9490

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477062263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1536",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286801536",
            "telephone_number": "828-437-3000",
            "fax_number": "828-437-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 S GREEN ST STE 300",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553693",
            "telephone_number": "828-437-3000",
            "fax_number": "828-437-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "HEATHER",
        "middle_name": "A",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A13302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "A13302",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.