MR. JONATHAN ERIC HETTERLY (NPI# 1295162568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295162568 |
Entity Type | Individual |
Full Name | MR. JONATHAN ERIC HETTERLY |
Credential | LPC |
Practice Address |
6060 Piedmont Row Dr S Suite 120 Charlotte NC 28287-3884 |
Practice Telephone | 7049968282 |
Mailing Telephone | 7049968282 |
Enumeration Date | 2013-10-02 |
Last Update Date | 2015-01-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
9045 | NC | Behavioral Health & Social Service Providers |
Street Address |
6060 PIEDMONT ROW DR S SUITE 120 |
City | CHARLOTTE |
State | NC |
Zip Code | 28287-3884 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376562728 | Alice C Wight | Internal Medicine | 6060 Piedmont Row Dr S, Charlotte, NC 28287-3884 | 2006-07-18 |
1366925158 | Elizabeth Christine Walters | Nurse Practitioner | 6060 Piedmont Row Dr S, Charlotte, NC 28287-3884 | 2018-09-08 |
1386015782 | Tarik Sloussi | Counselor | 6060 Piedmont Row Dr S, Suite 120, Charlotte, NC 28287-3884 | 2015-10-12 |
1992104939 | Raluca Maria Brady | Marriage & Family Therapist | 6060 Piedmont Row Dr S, Suite 120, Charlotte, NC 28287-3884 | 2014-08-15 |
1447660964 | Erin Landis Hodges | Dermatology | 6060 Piedmont Row Dr S, Charlotte, NC 28287-3884 | 2014-05-06 |
1962750513 | Rachel Sherman Kitson | Counselor | 6060 Piedmont Row Dr S, Suite 120, Charlotte, NC 28287-3884 | 2012-08-29 |
1720336597 | Heather Ann Wright | Psychologist | 6060 Piedmont Row Dr S, Suite 120, Charlotte, NC 28287-3884 | 2012-08-27 |
1275806168 | Patrick Oconnor | Psychologist | 6060 Piedmont Row Dr S, Suite 120, Charlotte, NC 28287-3884 | 2012-02-23 |
1487927315 | Sean Brian Knuth | Psychologist | 6060 Piedmont Row Dr S, Ste 120, Charlotte, NC 28287-3884 | 2012-02-23 |
1205103850 | Nicholas Valadez | Counselor | 6060 Piedmont Row Dr S, Charlotte, NC 28287-3884 | 2011-11-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770826281 | Desaree Valerie Festa-dreher | Psychologist | 6060 Piedmont Row South, Suite 120, Charlotte, NC 28287 | 2013-04-03 |
1851567747 | Casey Jo Humbyrd | Orthopaedic Surgery | 601 N Caroline Street, Baltimore, MD 28287 | 2008-05-01 |
1740200047 | James B Jones | Internal Medicine | 6060 Piedmont Row Dr S Fl 10, Charlotte, NC 28287 | 2006-07-20 |
1275552549 | Elizabeth A Dean | Internal Medicine | 6060 Piedmont Row Dr S Fl 7, Charlotte, NC 28287 | 2006-07-18 |
1902862303 | Meredith Leigh Dasher | Specialist | 6060 Piedmont Row Dr S Fl 6, Charlotte, NC 28287 | 2006-04-25 |
1336108455 | Hala J Webster | Internal Medicine | 6060 Piedmont Row Dr S Fl 8, Charlotte, NC 28287 | 2006-03-18 |
1720606403 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 6060 Piedmont Row Drive South, Suite 524, Charlotte, NC 28287 | 2020-07-09 |
1326528464 | Leia Ann Charnin | Psychologist | 6060 Piedmont Row Dr S Ste 120, Charlotte, NC 28287 | 2018-08-17 |
1144595380 | Althea Mascarenhas Cunningham | Internal Medicine | 6060 Piedmont Row Dr S Fl 7, Charlotte, NC 28287 | 2012-03-21 |
1528379609 | Robert Calvin Brownlee Iv | Internal Medicine | 6060 Piedmont Row Dr S Fl 7, Charlotte, NC 28287 | 2010-06-23 |
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Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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1902429772 | Sunshine Care LLC | Counselor | 2108 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4215 | 2020-05-27 |
1194348557 | Immerse & Emerge Counseling | Counselor | 10617 Kettering Dr Ste 113, Charlotte, NC 28226-4900 | 2020-05-20 |
1477174464 | Oliver's Contracting, Consulting, & Counseling Services, Pllc | Counselor | 4108 Park Rd Ste 408, Charlotte, NC 28209-2262 | 2020-04-30 |
1720619679 | John Wesley Goodwin IIi | Counselor | 5015 Stowe Derby Dr, Charlotte, NC 28278-7377 | 2020-01-30 |
1063059731 | Justina Mame Adadewa Ankrah | Counselor | 3001 Buckleigh Dr, Charlotte, NC 28215-7538 | 2019-12-02 |
1538704051 | Hattie M Williams | Counselor | 7517 Orr Rd, Charlotte, NC 28213-6544 | 2019-11-07 |
1720623390 | Maylee Vazquez | Counselor | 201 Stetson Dr, Charlotte, NC 28262-3364 | 2019-11-07 |
1053955468 | Hollis Wilson | Counselor | 6715a Fairview Rd Ste 102, Charlotte, NC 28210-3323 | 2019-10-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.