NPIMap

Organization Active NPI

Hearthstone Youth and Family Services, Inc.

  • Mental Health Counselor
  • Yanceyville, NC
National Provider Identifier
1760715494
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2925 Issued in NC
Legal business name
HEARTHSTONE YOUTH AND FAMILY SERVICES, INC.
Practice address
474 NC Highway 62 S
Yanceyville, NC 27379-8504
Phone
(336) 694-0906
Fax
(336) 694-5920
NPI assigned
Sep 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Authorized official

Name
Mr. Nathaniel Hall
Title
Ceo
Phone
(336) 694-0906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 2925 NC Primary

Addresses

Primary practice location

474 NC Highway 62 S
Yanceyville, NC 27379-8504

Mailing address

474 NC Highway 62 S
Yanceyville, NC 27379-8504
Phone (336) 694-0906

National Provider Directory

National Provider Directory
Tax ID family
Hearthstone Youth and Family Serv5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1760715494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 NC HIGHWAY 62 S",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273798504",
            "telephone_number": "336-694-0906",
            "fax_number": "336-694-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 NC HIGHWAY 62 S",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273798504",
            "telephone_number": "336-694-0906",
            "fax_number": "336-694-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTHSTONE YOUTH AND FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-694-0906",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yanceyville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.