ELLEN SUZANNE HEFNER LCMHCA
NPI 1104293836
Counselor - Mental Health in Charlotte, NC

Active since August 28, 2015
12830 RUSTY BLACKBIRD WAY, CHARLOTTE, NC 28278(336) 926-2143 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellen Suzanne Hefner Lcmhca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN SUZANNE HEFNER LCMHCA (NPI 1104293836) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (A11644) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1104293836
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELLEN SUZANNE HEFNERCredential: LCMHCA
Location Address12830 RUSTY BLACKBIRD WAYCharlotte, NC 28278-6896
Mailing Address12830 Rusty Blackbird WayCharlotte, NC 28278-6896 · (336) 926-2143
Sole ProprietorYes
Enumeration DateAugust 28, 2015
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
NPI 1104293836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · A11644
12830 RUSTY BLACKBIRD WAY, Charlotte, NC 28278

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Hefner's NPI number?

The NPI number for Ellen Hefner is 1104293836. It was assigned to this individual provider in the NPPES registry on August 28, 2015.

Where is Ellen Hefner located?

Ellen Hefner practices at 12830 Rusty Blackbird Way, Charlotte, NC 28278. The listed phone number is (336) 926-2143.

What is Ellen Hefner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ellen Hefner was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.