Individual provider Active NPI

Hannah Tuttle, LPC, LCAS, CCS, MAC

  • Professional Counselor
  • Huntersville, NC
National Provider Identifier
1487930012
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13263 Issued in NC
Practice address
9820 Northcross Center CT Ste 125
Huntersville, NC 28078-7356
Phone
(980) 439-9000
Fax
(704) 970-0302
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2637 NC
Professional Counselor 101YP2500X 13263 NC Primary

Addresses

Primary practice location

9820 Northcross Center CT Ste 125
Huntersville, NC 28078-7356

Mailing address

9820 Northcross Center CT Ste 125
Huntersville, NC 28078-7356
Phone (980) 439-9000

Other identifiers 1

IdentifierTypeStateIssuer
1487930012MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13263NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Oct 8, 2024 Accepting new patients
Lake Norman Treatment Associates, LLC Addiction (Substance Use Disorder) CurrentSince Jul 24, 2022 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

9820 Northcross Center Ct
Ste 125
Huntersville, NC 28078
Phone (980) 439-9000

Organizations & group practices 2

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": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487930012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9820 NORTHCROSS CENTER CT STE 125",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787356",
            "telephone_number": "980-439-9000",
            "fax_number": "704-970-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 NORTHCROSS CENTER CT STE 125",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787356",
            "telephone_number": "980-439-9000",
            "fax_number": "704-970-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "HANNAH",
        "credential": "LPC, LCAS, CCS, MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2637",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "13263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487930012",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.