Active NPI
Hannah Clements, LPCA
- Professional Counselor
- Gastonia, NC
National Provider Identifier
1659911493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A15154
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A15154 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Art of Therapy Center | Mental Health | Past | 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.