Active NPI
Amanda Nicole Hickey, LPC
- Mental Health Counselor
- Jonesboro, AR
National Provider Identifier
1205321676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P2505021
- Practice address
- 2520 Alexander Dr Ste a
Jonesboro, AR 72401-7194 - Phone
- (479) 373-2377
- NPI assigned
- Jun 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701012252 | VA | |
| Mental Health Counselor | 101YM0800X | MH14429 | FL | |
| Mental Health Counselor | 101YM0800X | P2505021 | AR | Primary |
Addresses
Primary practice location
2520 Alexander Dr Ste a
Jonesboro, AR 72401-7194
Mailing address
5108 Koala Dr
Jonesboro, AR 72404-8835
Phone (850) 387-5083
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 |
|---|---|---|---|
| P2505021 | AR | MD | Mental Health Counselor |
| MH14429 | FL | MD | Mental Health Counselor |
| 0701012252 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1205321676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5108 KOALA DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724048835",
"telephone_number": "850-387-5083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 ALEXANDER DR STE A",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724017194",
"telephone_number": "479-373-2377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "AMANDA",
"middle_name": "NICOLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701012252",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH14429",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "P2505021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.