Individual provider Active NPI

Amanda Yvonne Hiemenz, MA, NCC, LPC

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1548503287
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10026 Issued in NC
Practice address
1415 W NC Highway 54 Ste 123
Durham, NC 27707-5578
Phone
(919) 808-2010
Fax
(919) 502-7474
NPI assigned
Apr 1, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A10026 NC
Mental Health Counselor 101YM0800X 10026 NC Primary

Addresses

Primary practice location

1415 W NC Highway 54 Ste 123
Durham, NC 27707-5578

Mailing address

214 Wendover Lane
Durham, NC 27713-5578
Phone (919) 886-8783

Other practice location 1

8 Drye Ln
Durham, NC 27713-8986
Phone (919) 886-8783

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 Arts

State licenses

LicenseStateTypeSpecialty
A10026NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548503287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 WENDOVER LANE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135578",
            "telephone_number": "919-886-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W NC HIGHWAY 54 STE 123",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075578",
            "telephone_number": "919-808-2010",
            "fax_number": "919-502-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Drye Ln",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277138986",
            "country_code": "US",
            "telephone_number": "919-886-8783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIEMENZ",
        "first_name": "AMANDA",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A10026",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.