Active NPI
Debra P Hinson, LCMHC
- Professional Counselor
- Concord, NC
National Provider Identifier
1710435318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12377
- Practice address
- 900 Copperfield Blvd NE
Concord, NC 28025-2433 - Phone
- (704) 721-0000
- Fax
- (704) 973-7835
- NPI assigned
- Sep 13, 2016
- Last updated
- Aug 28, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12377 | NC | Primary |
Addresses
Primary practice location
900 Copperfield Blvd NE
Concord, NC 28025-2433
Mailing address
6412 Bannington Road
Charlotte, NC 28226
Phone (704) 441-3307
Other names 1
- Ms. Debra Pickering Martin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 15, 2025 through Apr 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12377 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1710435318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6412 BANNINGTON ROAD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28226",
"telephone_number": "704-441-3307",
"fax_number": "704-973-7835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 COPPERFIELD BLVD NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252433",
"telephone_number": "704-721-0000",
"fax_number": "704-973-7835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINSON",
"first_name": "DEBRA",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-13",
"last_updated": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "12377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "MARTIN",
"middle_name": "PICKERING",
"prefix": "MS.",
"credential": "LCMHC BEHAVIORAL HEA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.