Individual provider Active NPI

Kiara-Breia Louise Hicks-Lyles, CRNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • York, PA
National Provider Identifier
1114818861
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP033650 Issued in PA
Practice address
7 E Market St Ste 103
York, PA 17401-1205
Phone
(717) 688-6568
Fax
(717) 956-3740
NPI assigned
Jul 11, 2025
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP033650 PA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC008008 MD

Addresses

Primary practice location

7 E Market St Ste 103
York, PA 17401-1205

Mailing address

6156 Deborah Dr
Spring Grove, PA 17362-9200
Phone (443) 813-2911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251106003318 MD Practitioner - Nurse Practitioner 8921598160 Practice locations: Oakland, MD
I20251106003677 PA Practitioner - Nurse Practitioner 8921598160 Practice locations: Spring Grove, PA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5000 Thayer Ctr
Suite C
Oakland, MD 21550-1139
Phone (717) 688-6568

6156 Deborah Dr
Spring Grove, PA 17362-9200
Phone (717) 688-6568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AC008008MDMDPsychiatric/Mental Health Nurse Practitioner
SP033650PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Organized Peace of Mind (Opom) Wellness, PLLC Psychiatric/Mental Health CurrentSince Dec 7, 2025 Accepting new patients
Silverlining Health & Wellness PLLC CurrentSince Aug 25, 2025 Accepting new patients
Mind & Soul Telewellness LLC PastSince May 19, 2024 Accepting new patients

Locations

205 Grandview Ave
Ste 401C
Camp Hill, PA 17011
Phone (717) 888-9925

7 E Market St
Ste 103
York, PA 17401
Phone (717) 688-6568

Organizations & group practices 3

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": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1114818861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6156 DEBORAH DR",
            "city": "SPRING GROVE",
            "state": "PA",
            "postal_code": "173629200",
            "telephone_number": "443-813-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 E MARKET ST STE 103",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011205",
            "telephone_number": "717-688-6568",
            "fax_number": "717-956-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS-LYLES",
        "first_name": "KIARA-BREIA",
        "middle_name": "LOUISE",
        "credential": "CRNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-11",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP033650",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC008008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.