Active NPI
Michele Hickey, LPC
- Professional Counselor
- Washington Township, OH
National Provider Identifier
1366178824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2103838
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C.2103838 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darcie R Clark LPCC LLC | Professional | Current | 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.