Jacquelyn Hartman, LPC, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8527 Issued in NC

Legal business name

JACQUELYN HARTMAN, LPC, PLLC

Practice address

815 N Arendell Ave
Zebulon, NC 27597-2305

Phone

(919) 602-5797

Fax

(919) 269-7761

NPI assigned

Aug 26, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Jacquelyn Renee Hartman, M.S., LPC

Title

Art and Play Therapist

Phone

(919) 602-5797

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Johnson Smith, LCSW

  • Clinical Social Worker
  • Zebulon, NC
  • NPI 1528133899
  NPD (past)

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1811277411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275970116",
            "telephone_number": "919-602-5797",
            "fax_number": "919-269-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N ARENDELL AVE",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275972305",
            "telephone_number": "919-602-5797",
            "fax_number": "919-269-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELYN HARTMAN, LPC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ART AND PLAY THERAPIST",
        "authorized_official_telephone_number": "919-602-5797",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Zebulon, NC
• Providers in Zebulon, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.