Individual provider Active NPI

Jessica Lykes, LCMHCA

  • Mental Health Counselor
  • Southern Pines, NC
National Provider Identifier
1245979913
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17552 Issued in NC
Practice address
185 Wooster Rd
Southern Pines, NC 28387-2354
Phone
(910) 585-9074
Fax
(910) 216-2504
NPI assigned
Jun 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 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 17552 NC Primary

Addresses

Primary practice location

185 Wooster Rd
Southern Pines, NC 28387-2354

Mailing address

185 Wooster Rd
Southern Pines, NC 28387-2354
Phone (910) 585-9074

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

LicenseStateTypeSpecialty
17552NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Pediatric Therapy Serivces Mental Health PastSince Jun 5, 2022 Accepting new patients
Harley Grace LLC Past Accepting new patients
Moore Pediatric Therapy Serivces PastSince Jun 5, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777680000000",
    "number": "1245979913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WOOSTER RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872354",
            "telephone_number": "910-585-9074",
            "fax_number": "910-216-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WOOSTER RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872354",
            "telephone_number": "910-585-9074",
            "fax_number": "910-216-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYKES",
        "first_name": "JESSICA",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.