Individual provider Active NPI

Keishia Cecelia Hucks, MS, LCMHC, LCASA

  • Mental Health Counselor
  • Goldsboro, NC
National Provider Identifier
1396236154
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19133 Issued in NC
Practice address
208 Malloy St Ste B
Goldsboro, NC 27534-4478
Phone
(984) 520-6080
Fax
(984) 520-6081
NPI assigned
May 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19133 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-28066 NC

Addresses

Primary practice location

208 Malloy St Ste B
Goldsboro, NC 27534-4478

Mailing address

208 Malloy St Ste B
Goldsboro, NC 27534-4478
Phone (984) 520-6080

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
I20260306001897 NC Practitioner - Mental Health Counselor 4587146626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2416 Bedgood Dr SW
Wilson, NC 27893-8515

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LCAS-28066NCMDAddiction (Substance Use Disorder) Counselor
19133NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pride in North Carolina, LLC Mental Health CurrentSince Feb 27, 2026 Accepting new patients
Pride in North Carolina, LLC Mental Health CurrentSince Feb 27, 2026 Accepting new patients

Locations

208 Malloy St
Ste B
Goldsboro, NC 27534
Phone (984) 520-6080

231 Commerce St
Greenville, NC 27858
Phone (252) 321-8080

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1396236154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MALLOY ST STE B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344478",
            "telephone_number": "984-520-6080",
            "fax_number": "984-520-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MALLOY ST STE B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344478",
            "telephone_number": "984-520-6080",
            "fax_number": "984-520-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCKS",
        "first_name": "KEISHIA",
        "middle_name": "CECELIA",
        "credential": "MS, LCMHC, LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-28",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "19133",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-28066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.