Anne Marie Henschel

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4708 Issued in NC

Practice address

4002 Executive Park Blvd
#600
Southport, NC 28461-9024

Phone

(910) 540-9499

Fax

(910) 363-4244

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shoreline Counseling Center, PLLC

  • Professional Counselor
  • Southport, NC
  • NPI 1174837652
  NPD (past) Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1962516971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 WATERLILLY LN",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284619012",
            "telephone_number": "910-540-9499",
            "fax_number": "910-363-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 EXECUTIVE PARK BLVD",
            "address_2": "#600",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284619024",
            "telephone_number": "910-540-9499",
            "fax_number": "910-363-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSCHEL",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4708",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE NUMBER",
            "identifier": "4708",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ziaollah Hashemi, M.D.
• Joseph P Hatem, MD
• Denise Beth Hayes, RPH, MS, CCP
• Rebecca Jane Hedgecock, MA, NCC, LPC
• Marty Lee Hendrick, PHARM D
• Rick J Hernandez, M.D.
• Mark Herzog, PTA
• Kaylee Heschke
• Carol H Hester, MA
• Karen Hewett

• Professional Counselor in Southport, NC
• Providers in Southport, 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 Jul 12, 2010; 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.