Active NPI
Jonathan Hardin
- Mental Health Counselor
- Davidson, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A16420
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A16420 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geode Health of North Carolina, PLLC | Current | Accepting new patients | |
| Southlake Center for Self Discovery | Past | Accepting new patients | |
| Southlake Counseling & Consulting | Past | Accepting new patients | |
| Kerry L. Musick, MD, PLLC | Past | 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.
-
- Psychiatry Physician
- Durham, NC
- NPI 1588433502
-
- Psychiatry Physician
- Mooresville, NC
- NPI 1710402904
-
- Clinical Social Worker
- Davidson, NC
- NPI 1366656910
-
- Clinical Social Worker
- Davidson, NC
- NPI 1194864975
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.