Individual provider Active NPI

Hailee Kathusca Nicholson, LPC-A

  • Mental Health Counselor
  • Ridgeland, SC
National Provider Identifier
1114831187
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11189 Issued in SC
Practice address
77 Hazzard Creek VLG Unit C
Ridgeland, SC 29936-8266
Phone
(843) 645-7700
Fax
(888) 908-7339
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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 11189 SC Primary

Addresses

Primary practice location

77 Hazzard Creek VLG Unit C
Ridgeland, SC 29936-8266

Mailing address

77 Hazzard Creek VLG Unit C
Ridgeland, SC 29936-8266
Phone (843) 645-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1114831187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HAZZARD CREEK VLG UNIT C",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368266",
            "telephone_number": "843-645-7700",
            "fax_number": "888-908-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HAZZARD CREEK VLG UNIT C",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368266",
            "telephone_number": "843-645-7700",
            "fax_number": "888-908-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "HAILEE",
        "middle_name": "KATHUSCA",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "11189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.