Active NPI
Lindsay Hicks, LCMHC-A, LCAS-A
- Mental Health Counselor
- Matthews, NC
National Provider Identifier
1124773957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A17535
- Practice address
- 9723 Northeast Pkwy Ste 500
Matthews, NC 28105-9718 - Phone
- (704) 237-4240
- NPI assigned
- Feb 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-26605 | NC | |
| Mental Health Counselor | 101YM0800X | A17535 | NC | Primary |
Addresses
Primary practice location
9723 Northeast Pkwy Ste 500
Matthews, NC 28105-9718
Mailing address
10820 Boykin PL Apt 112
Matthews, NC 28105-8991
Phone (704) 620-1059
Other practice location 1
16147 Lancaster Hwy
Charlotte, NC 28277-2050
Phone (704) 931-8371
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Unionfamilyservices.com |
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 |
|---|---|---|---|
| LCAS-26605 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| A17535 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Emotional Health | Past | Accepting new patients | |
| Mindful Movements, PLLC | Mental Health | Past | Accepting new patients |
| Serenity Space Counseling, PLLC | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Addiction Psychiatry Physician
- Gastonia, NC
- NPI 1174922348
-
- Community/Behavioral Health Agency
- Matthews, NC
- NPI 1205392099
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1124773957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10820 BOYKIN PL APT 112",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281058991",
"telephone_number": "704-620-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9723 NORTHEAST PKWY STE 500",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281059718",
"telephone_number": "704-237-4240"
}
],
"practiceLocations": [
{
"address_1": "16147 Lancaster Hwy",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282772050",
"country_code": "US",
"telephone_number": "704-931-8371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKS",
"first_name": "LINDSAY",
"credential": "LCMHC-A, LCAS-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-21",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-26605",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A17535",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Unionfamilyservices.com",
"affiliation": "N",
"address_1": "16147 Lancaster Hwy",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282772050",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.