Individual provider Active NPI

Alicia Douglas Hart, MMFT, MDIV, LMFTS

  • Marriage & Family Therapist
  • Spartanburg, SC
National Provider Identifier
1861948192
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4696 Issued in SC
Practice address
160 Quarry Road
Spartanburg, SC 29302-4129
Phone
(864) 621-9475
Fax
(864) 751-5788
NPI assigned
Aug 28, 2016
Last updated
May 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 7937 SC
Marriage & Family Therapist 106H00000X 6382 SC
Marriage & Family Therapist 106H00000X 4696 SC Primary

Addresses

Primary practice location

160 Quarry Road
Spartanburg, SC 29302-4129

Mailing address

160 Quarry Road
Spartanburg, SC 29302-4129
Phone (864) 621-9475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240502000343 SC Practitioner - Marriage and Family Therapist 5395185755 Practice locations: Spartanburg, SC

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

160 Quarry Rd
Spartanburg, SC 29302-4101
Phone (864) 580-9848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6382SCMDMarriage & Family Therapist
4696SCMDChiropractor
7937SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hart to Heart Therapy LLC Marriage & Family Therapist CurrentSince Apr 1, 2023 Accepting new patients
Hart to Heart Therapy LLC Marriage & Family Therapist CurrentSince Feb 1, 2024 Accepting new patients

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1861948192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 QUARRY ROAD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293024129",
            "telephone_number": "864-621-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 QUARRY ROAD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293024129",
            "telephone_number": "864-621-9475",
            "fax_number": "864-751-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "ALICIA",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mrs.",
        "credential": "MMFT, MDIV, LMFTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "7937",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "6382",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "4696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.