Organization Active NPI

Hearst Psychotherapy

  • Adult Mental Health Clinic/Center
  • Charlotte, NC
National Provider Identifier
1598334948
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HEARST PSYCHOTHERAPY
Practice address
3420 Arklow Rd
Charlotte, NC 28269-0778
Phone
(704) 951-4859
NPI assigned
Jun 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Authorized official

Name
Markia Hearst, LCSWNPI 1881213189
Title
Owner
Phone
(704) 951-4859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3420 Arklow Rd
Charlotte, NC 28269-0778

Mailing address

3020I Prosperity Church Rd # 964
Charlotte, NC 28269-8112
Phone (704) 951-4859

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1598334948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020I PROSPERITY CHURCH RD # 964",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698112",
            "telephone_number": "704-951-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 ARKLOW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690778",
            "telephone_number": "704-951-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARST PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "HEARST",
        "authorized_official_first_name": "MARKIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-951-4859",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.