Douglas Edward Hickey, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.2103813 Issued in OH

Practice address

761 Miamisburg Centerville Rd
Washington Township, OH 45459-6501

Phone

(937) 319-4448

NPI assigned

Jul 27, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

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.

• Darcie R Clark LPCC LLC

  dba Riverscape Counseling

  • Professional Counselor
  • Dayton, OH
  • NPI 1669842258
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  OH, Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1033845433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MIAMISBURG CENTERVILLE RD",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454596501",
            "telephone_number": "937-319-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MIAMISBURG CENTERVILLE RD",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454596501",
            "telephone_number": "937-319-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "DOUGLAS",
        "middle_name": "EDWARD",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2103813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.riverscapecounseling.com/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "notes, records and billing",
            "address_1": "761 Miamisburg Centerville Rd",
            "city": "Washington Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454596501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Halsey
• Jennifer Hampton, BCBA
• Brian Hays
• Brian Heinbaugh
• Katelyn Jean Hendrickson
• Michele Hickey, LPC
• Samiya Howell
• London Huling
• Rachel Hurtubise, PA-C
• Innersight Counseling Professionals LLC

• Professional Counselor in Washington Township, OH
• Providers in Washington Township, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.