Individual provider Active NPI

Heather Cashion Frazier, LCMHC; LCASA

  • Mental Health Counselor
  • Walnut Cove, NC
National Provider Identifier
1750971081
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13810 Issued in NC
Practice address
522 N Main St
Walnut Cove, NC 27052-9247
Phone
(336) 753-2655
NPI assigned
Jan 20, 2021
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23948 NC
Mental Health Counselor 101YM0800X 13810 NC Primary

Addresses

Primary practice location

522 N Main St
Walnut Cove, NC 27052-9247

Mailing address

522 N Main St
Walnut Cove, NC 27052-9247
Phone (336) 753-2655

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240610000534 NC Practitioner - Mental Health Counselor 8224570965 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23948NCMDAddiction (Substance Use Disorder) Counselor
13810NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
October Road Inc. Addiction (Substance Use Disorder) CurrentSince Mar 12, 2024 Accepting new patients
October Road Inc CurrentSince Mar 12, 2024 Accepting new patients

Locations

119 Tunnel Rd
Ste B
Asheville, NC 28805
Phone (219) 256-3059

119 Tunnel Rd
Ste D
Asheville, NC 28805
Phone (888) 201-5086

522 N Main St
Walnut Cove, NC 27052
Phone (336) 753-2655

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1750971081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N MAIN ST",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270529247",
            "telephone_number": "336-753-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N MAIN ST",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270529247",
            "telephone_number": "336-753-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "HEATHER",
        "middle_name": "CASHION",
        "credential": "LCMHC; LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "23948",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Cove, NC

Sources for this page

Verify at the official NPI Registry.