Individual provider Active NPI

Hannah Clements, LPCA

  • Professional Counselor
  • Gastonia, NC
National Provider Identifier
1659911493
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A15154 Issued in NC
Practice address
2907 Rousseau CT
Gastonia, NC 28054-2103
Phone
(980) 484-2111
Fax
(704) 259-0480
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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 A15154 NC
Professional Counselor 101YP2500X A15154 NC Primary

Addresses

Primary practice location

2907 Rousseau CT
Gastonia, NC 28054-2103

Mailing address

2907 Rousseau CT
Gastonia, NC 28054-2103
Phone (980) 484-2111

Other practice location 1

117 W Marion St
Shelby, NC 28150-5331
Phone (980) 484-2111

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

State licenses

LicenseStateTypeSpecialty
A15154NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Art of Therapy Center Mental Health PastSince Jun 7, 2020 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": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1659911493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 ROUSSEAU CT",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542103",
            "telephone_number": "980-484-2111",
            "fax_number": "704-259-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 ROUSSEAU CT",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542103",
            "telephone_number": "980-484-2111",
            "fax_number": "704-259-0480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 W Marion St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281505331",
            "country_code": "US",
            "telephone_number": "980-484-2111",
            "fax_number": "704-259-0480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "HANNAH",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15154",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A15154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.