Haily Sophia Robertson, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A20456 Issued in NC

Practice address

313 Ridge Ave
Cherryville, NC 28021-2451

Phone

(704) 836-9605

NPI assigned

Aug 19, 2024

Last updated

Aug 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gaston Family Health Services, Inc.

  dba Kintegra at Cherryville High

  • Federally Qualified Health Center (FQHC)
  • Cherryville, NC
  • NPI 1487403242
  NPD
• Gaston Family Health Services, Inc.

  dba Kintegra Family Medicine - Hudson

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1215932215
  NPD (past)
• Gaston Family Health Services, Inc.

  dba Kintegra at Chavis Middle

  • Federally Qualified Health Center (FQHC)
  • Cherryville, NC
  • NPI 1619726486
  NPD (past)

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1871325753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1907",
            "fax_number": "704-865-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 RIDGE AVE",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280212451",
            "telephone_number": "704-836-9605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 S Chavis Dr",
            "address_purpose": "LOCATION",
            "city": "Cherryville",
            "state": "NC",
            "postal_code": "280213351",
            "country_code": "US",
            "telephone_number": "704-836-9606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "HAILY",
        "middle_name": "SOPHIA",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A20456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divyesh Kishorkumar Patel, MS, RPH.
• Maggie Brintle Phillips, PHARMD
• Dana Blackmon Phipps, CPHT
• Mark Clayton Price, PHARM.D.
• Melissa Marie Rhoney, PHARMD
• Jessica Albright Robinson, MSW, LCSW-A
• Kerry G. Robinson, FNP-C
• Doug Osei Sarfo, PHARMD
• Barbara Michele Scott, LCSW
• Sentry Drug Center 5 LLC (Sentry Drug Center of Cherryville)

• Mental Health Counselor in Cherryville, NC
• Providers in Cherryville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.