Individual provider Active NPI

Anna Hickey

  • Mental Health Counselor
  • Macomb, MI
National Provider Identifier
1053731067
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401013690 Issued in MI
Practice address
17937 Hall Rd
Macomb, MI 48044-4557
Phone
(586) 255-0499
NPI assigned
Apr 17, 2014
Last updated
Apr 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401013690 MI Primary

Addresses

Primary practice location

17937 Hall Rd
Macomb, MI 48044-4557

Mailing address

17937 Hall Rd
Macomb, MI 48044-4557
Phone (586) 255-0499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250605002965 MI Practitioner - Mental Health Counselor 2961813357 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401013690MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anna M. Hickey, Inc. Mental Health CurrentSince Jan 20, 2016 Accepting new patients

Locations

17937 Hall Rd
Macomb, MI 48044
Phone (586) 255-0499

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.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1053731067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17937 HALL RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444557",
            "telephone_number": "586-255-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17937 HALL RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444557",
            "telephone_number": "586-255-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401013690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.