Active NPI
Alicia Vickers, LPC
- Professional Counselor
- Starkville, MS
National Provider Identifier
1053199521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3206
- Practice address
- 100 Starr Ave Ste K
Starkville, MS 39759-4032 - Phone
- (662) 340-5947
- NPI assigned
- Sep 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3206 | MS | Primary |
Addresses
Primary practice location
100 Starr Ave Ste K
Starkville, MS 39759-4032
Mailing address
70 Summer Lane Dr
Columbus, MS 39702-9700
Phone (662) 889-0110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3206 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starkville Wellness Group | Current | Accepting new patients |
Locations
100 Starr Ave
Ste K
Starkville, MS 39759
Phone (662) 340-5947
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Starkville, MS
- NPI 1437763240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1053199521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 SUMMER LANE DR",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397029700",
"telephone_number": "662-889-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 STARR AVE STE K",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397594032",
"telephone_number": "662-340-5947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICKERS",
"first_name": "ALICIA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "3206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Starkville, MS
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- Taylor Alexa Vandyk, MS, RDN, LD, CHES
- Kristin Faith Venarske, MS, RD LDN
- Vitality Behavioral Health, LLC
- Patrick William Vukmirovich
- W. P. Eastman, D.D.S., P.a.
- W. Todd Smith, M.D., P.a.
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0112)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.