Individual provider Active NPI

Haylie Parks Ohmer, M.ED., LCMHC, LCAS

  • Mental Health Counselor
  • Southport, NC
National Provider Identifier
1497337646
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A16231 Issued in NC
Practice address
4874 Beech Tree Dr SE
Southport, NC 28461-7460
Phone
(910) 442-8186
NPI assigned
Apr 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-27071 NC
Professional Counselor 101YP2500X A16231 NC
Mental Health Counselor 101YM0800X A16231 NC Primary

Addresses

Primary practice location

4874 Beech Tree Dr SE
Southport, NC 28461-7460

Mailing address

4874 Beech Tree Dr SE
Southport, NC 28461-7460
Phone (910) 442-8186

Other names 1

  • Haylie Parks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LCAS-27071NCMDAddiction (Substance Use Disorder) Counselor
A16231NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ohm Recovery & Wellness Addiction (Substance Use Disorder) CurrentSince Jan 14, 2024 Accepting new patients

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": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1497337646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4874 BEECH TREE DR SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284617460",
            "telephone_number": "910-442-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4874 BEECH TREE DR SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284617460",
            "telephone_number": "910-442-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS OHMER",
        "first_name": "HAYLIE",
        "credential": "M.ED., LCMHC, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-27071",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A16231",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYLIE",
            "last_name": "PARKS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.