Individual provider Active NPI

Kimberly Nicole Hicks, LPC

  • Mental Health Counselor
  • Orangeburg, SC
National Provider Identifier
1063186807
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7848 Issued in SC
Practice address
2319 Saint Matthews Rd
Orangeburg, SC 29118-2042
Phone
(803) 536-1571
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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 7848 SC Primary

Addresses

Primary practice location

2319 Saint Matthews Rd
Orangeburg, SC 29118-2042

Mailing address

2319 Saint Matthews Rd
Orangeburg, SC 29118-2042
Phone (803) 536-1571

Other names 1

  • Kimberly Nicole Meyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20250924000090 SC Practitioner - Mental Health Counselor 4789189523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Counseling and Consulting Services LLCGroup PAC ID 2365592797, 15 clinicians

Practice addresses (Care Compare)

1721 Ebenezer Rd
Suite 225
Rock Hill, SC 29732-1119
Phone (803) 329-9639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7848SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Counseling & Consulting Services, LLC Mental Health CurrentSince May 31, 2025 Accepting new patients

Locations

100 Stone Village Dr
Ste 206
Fort Mill, SC 29708
Phone (803) 547-7120

1721 Ebenezer Rd
Ste 225
Rock Hill, SC 29732
Phone (803) 329-1520

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1063186807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 SAINT MATTHEWS RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182042",
            "telephone_number": "803-536-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 SAINT MATTHEWS RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182042",
            "telephone_number": "803-536-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "KIMBERLY",
        "middle_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MEYER",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.