Individual provider Active NPI

Amaya Nicole Hardy, LCMHC

  • Professional Counselor
  • Concord, NC
National Provider Identifier
1841655644
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A11986 Issued in NC
Practice address
350 George W Liles Pkwy NW Ste 160
Concord, NC 28027-2411
Phone
(336) 897-0029
NPI assigned
Dec 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A11986 NC Primary

Addresses

Primary practice location

350 George W Liles Pkwy NW Ste 160
Concord, NC 28027-2411

Mailing address

350 George W Liles Pkwy NW Ste 160
Concord, NC 28027-2411
Phone (336) 897-0029

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
I20250312000182 NC Practitioner - Mental Health Counselor 0648662155 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A11986NCMDProfessional Counselor
11986NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Family Counseling Solutions P.L.L.C. Professional CurrentSince Aug 1, 2018 Accepting new patients

Locations

1480 Concord Pkwy N
Ste 350
Concord, NC 28025
Phone (704) 343-5005

1600 E Wendover Ave
Ste L
Greensboro, NC 27405
Phone (336) 547-8900

1600 E Wendover Ave
Ste R
Greensboro, NC 27405
Phone (336) 897-0029

Organizations & group practices 1

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": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1841655644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 GEORGE W LILES PKWY NW STE 160",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272411",
            "telephone_number": "336-897-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 GEORGE W LILES PKWY NW STE 160",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272411",
            "telephone_number": "336-897-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "AMAYA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A11986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.