Individual provider Active NPI

Abe Edward Hickey, MA, NCC, LCMHCS

  • Professional Counselor
  • Raleigh, NC
National Provider Identifier
1285937011
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8334 Issued in NC
Practice address
5858 Faringdon PL Ste 100
Raleigh, NC 27609-3931
Phone
(919) 538-3458
NPI assigned
Dec 17, 2010
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 8334 NC
Mental Health Counselor 101YM0800X 8334 NC
Professional Counselor 101YP2500X S8334 NC
Professional Counselor 101YP2500X 8334 NC Primary

Addresses

Primary practice location

5858 Faringdon PL Ste 100
Raleigh, NC 27609-3931

Mailing address

4212 Claybourne Dr
Raleigh, NC 27616-6599
Phone (919) 538-3458

Other practice location 1

4909 Waters Edge Dr
Suite 100
Raleigh, NC 27606-2462
Phone (919) 538-3458

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305004460 NC Practitioner - Mental Health Counselor 0941645576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4212 Claybourne Dr
Raleigh, NC 27616-6599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
8334NCMDProfessional Counselor
S8334NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coogan Hickey Services, Inc. Mental Health CurrentSince Jan 1, 2023 Accepting new patients
Aspiring Hearts Counseling, PLLC Mental Health PastSince Jan 7, 2024 Accepting new patients

Locations

4909 Waters Edge Dr
Ste 100
Raleigh, NC 27606
Phone (919) 285-1647

5858 Faringdon Pl
Ste 100
Raleigh, NC 27609
Phone (919) 538-3458

Organizations & group practices 2

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": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1285937011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 CLAYBOURNE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276166599",
            "telephone_number": "919-538-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 FARINGDON PL STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093931",
            "telephone_number": "919-538-3458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4909 Waters Edge Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276062462",
            "country_code": "US",
            "telephone_number": "919-538-3458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "ABE",
        "middle_name": "EDWARD",
        "credential": "MA, NCC, LCMHCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-17",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "8334",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8334",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S8334",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.