Individual provider Active NPI

Jonathan Hardin

  • Mental Health Counselor
  • Davidson, NC
National Provider Identifier
1497335152
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A16420 Issued in NC
Practice address
903 Northeast Dr Ste 201
Davidson, NC 28036-7438
Phone
(704) 896-7776
NPI assigned
Apr 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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 A16420 NC Primary

Addresses

Primary practice location

903 Northeast Dr Ste 201
Davidson, NC 28036-7438

Mailing address

2966 Caldwell Ridge Pkwy
Charlotte, NC 28213-5888
Phone (704) 502-7896

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
I20241007002243 NC Practitioner - Mental Health Counselor 6800327461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geode Health of North Carolina PLLCGroup PAC ID 2567801020, 12 clinicians

Practice addresses (Care Compare)

18117 W Catawba Ave
Cornelius, NC 28031-5641
Phone (704) 594-2337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A16420NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Geode Health of North Carolina, PLLC CurrentSince Oct 3, 2024 Accepting new patients
Southlake Center for Self Discovery PastSince Apr 11, 2021 Accepting new patients
Southlake Counseling & Consulting PastSince Apr 11, 2021 Accepting new patients
Kerry L. Musick, MD, PLLC PastSince Sep 25, 2017 Accepting new patients

Locations

1211 W 22nd St
Ste 406
Oak Brook, IL 60523

18117 W Catawba Ave
Cornelius, NC 28031
Phone (704) 594-2337

6015 Fayetteville Rd
Ste 113
Durham, NC 27713
Phone (919) 794-4487

136 Fairview Rd
Ste 125
Mooresville, NC 28117
Phone (704) 317-5929

Organizations & group practices 4

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": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1497335152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2966 CALDWELL RIDGE PKWY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282135888",
            "telephone_number": "704-502-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 NORTHEAST DR STE 201",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367438",
            "telephone_number": "704-896-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davidson, NC

Sources for this page

Verify at the official NPI Registry.