Wanda Hailey, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A13240 Issued in NC

Practice address

215 Friendly Rd
Asheboro, NC 27203-8890

Phone

(336) 628-4636

Fax

(336) 521-9153

NPI assigned

Oct 16, 2018

Last updated

Mar 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1609342880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 MASON RD",
            "city": "CLIMAX",
            "state": "NC",
            "postal_code": "272339142",
            "telephone_number": "336-628-4636",
            "fax_number": "336-521-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 FRIENDLY RD",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272038890",
            "telephone_number": "336-628-4636",
            "fax_number": "336-521-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILEY",
        "first_name": "WANDA",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A13240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Alan Grisso, MD
• Brittany Smith Groseclose, PT
• Holly Gudino, MSW LCSWA
• Tara Graves Gunter, NP
• Jennifer Rae Hagan, NP
• Erin Kristal Halkyer, MSW,LCASA
• Meghan M. Hall, PA-C
• Mark Hamilton
• Alexandra Hammouri, PSY. D.
• Hand & Rehabilitation Specialists of North Carolina LLP

• Mental Health Counselor in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.