Kathy Hedrick

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

24950 Issued in NC

Practice address

4437 Main St
Shallotte, NC 28470-4451

Phone

(910) 754-4449

NPI assigned

Feb 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Treatment Centers LLC

  • Community/Behavioral Health Agency
  • Shallotte, NC
  • NPI 1033915509
  NPD
• Treatment Centers LLC

  • Community/Behavioral Health Agency
  • Lexington, NC
  • NPI 1639592900
  NPD (past)

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1487111845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E PARKER LN APT A",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272924196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 MAIN ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704451",
            "telephone_number": "910-754-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "KATHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "24950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCSAPPB",
            "identifier": "24950",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Hardy
• Megan Kathleen Hardy, ATC/L
• Stephanie Hardy, OD
• Mohamed Hassanein, DMD, MS
• Shellie Antoinette Hatcher
• Emily Heffernan, LCAS A
• Cassaundra Houston Hefner, FNP-BC
• Heavan Lee Helms, PHARMD
• Demetrios Herodotou, MD
• Jennifer Herring, PHARMD, RPH

• Addiction (Substance Use Disorder) Counselor in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.