Individual provider Active NPI

Michele Hickey, LPC

  • Professional Counselor
  • Washington Township, OH
National Provider Identifier
1366178824
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2103838 Issued in OH
Practice address
761 Miamisburg Centerville Rd
Washington Township, OH 45459-6501
Phone
(937) 319-4448
NPI assigned
Jul 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.2103838 OH Primary

Addresses

Primary practice location

761 Miamisburg Centerville Rd
Washington Township, OH 45459-6501

Mailing address

7652 Katy Dr
Dayton, OH 45459-3619
Phone (937) 371-1381

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.riverscapecounseling.com/ Health Information Exchange (HIE)
CONNECT URL https://www.riverscapecounseling.com/ Health Information Exchange (HIE)

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
C.2103838OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Darcie R Clark LPCC LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

761 Miamisburg Centerville Rd
Washington Township, OH 45459
Phone (937) 319-4448

Organizations & group practices 1

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": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1366178824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7652 KATY DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593619",
            "telephone_number": "937-371-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MIAMISBURG CENTERVILLE RD",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454596501",
            "telephone_number": "937-319-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "MICHELE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2103838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.riverscapecounseling.com/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "761 Miamisburg Centerville Rd",
            "city": "Washington Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454596501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.riverscapecounseling.com/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clinical notes, scheduling, billing",
            "address_1": "761 Miamisburg Centerville Rd",
            "city": "Washington Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454596501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.