Micaiah J Hetrick, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

274365 Issued in KY

Practice address

425 N Maysville St
Mount Sterling, KY 40353-1050

Phone

(859) 497-0594

Fax

(859) 432-1025

NPI assigned

Dec 20, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Newsong Counseling Center Inc

  • Mental Health Counselor
  • Mt Sterling, KY
  • NPI 1053783589
  NPD (past)

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1346900214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N MAYSVILLE ST",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531050",
            "telephone_number": "859-497-0594",
            "fax_number": "859-432-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N MAYSVILLE ST",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531050",
            "telephone_number": "859-497-0594",
            "fax_number": "859-432-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETRICK",
        "first_name": "MICAIAH",
        "middle_name": "J",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "274365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard F Henry, DDS
• Rachel Nicole Hensley, PA-C
• Whitney Herringshaw
• Harold Robert Hescock Jr., PA
• Rebecca Hess
• John High
• Madalyn Paige Highfield
• Leslie Highley, APRN
• Joseph Barkley Hill, APRN
• Shane M Hirst, CNM

• Mental Health Counselor in Mount Sterling, KY
• Providers in Mount Sterling, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.