Organization Active NPI

Healing Hearts and Minds Counseling, PLLC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1790405025
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEALING HEARTS AND MINDS COUNSELING, PLLC
Practice address
1104 5075 Morganton Rd Ste 10C
Fayetteville, NC 28314
Phone
(910) 302-8320
Fax
(910) 900-0906
NPI assigned
Aug 29, 2022
Last updated
Mar 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Latina Edmonds, MA, LCMHC, CST, RYTNPI 1396100806
Title
Owner
Phone
(910) 302-8320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1104 5075 Morganton Rd Ste 10C
Fayetteville, NC 28314

Mailing address

1104 5075 Morganton Rd Ste 10C
Fayetteville, NC 28314

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Latina.edmonds@hhm-pllc.com
Other URL infor@hhm-pllc.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1790405025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 5075 MORGANTON RD STE 10C",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 5075 MORGANTON RD STE 10C",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28314",
            "telephone_number": "910-302-8320",
            "fax_number": "910-900-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEARTS AND MINDS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "LATINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-302-8320",
        "authorized_official_credential": "MA, LCMHC, CST, RYT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Latina.edmonds@hhm-pllc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "#1104 5075 Morganton rd STE 10c",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "infor@hhm-pllc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1104 5075 Morganton rd STE 10c",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.