Nickol T. Smith - Hicks, QMHS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C.2304608-TRNE Issued in OH

Practice address

26055 Emery Rd
Warrensville Heights, OH 44128-5765

Phone

(216) 341-4445

Fax

(216) 341-4443

NPI assigned

Apr 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1508353756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5154 ANTHONY ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441371314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26055 EMERY RD",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285765",
            "telephone_number": "216-341-4445",
            "fax_number": "216-341-4443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13422 Kinsman Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441204410",
            "country_code": "US",
            "telephone_number": "216-283-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH - HICKS",
        "first_name": "NICKOL",
        "middle_name": "T.",
        "credential": "QMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2304608-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skram Institute
• Erik Sledge
• Jesse Sloan
• Jalissa Lynn Small
• Tyana Smiley
• Brianna Noelle Smith, PHARMD
• Brooke Kamri Smith
• Michelle Smith, LPN
• Quenisha Shenette Smith
• Riley Louis Smith, DO

• Counselor in Warrensville Heights, OH
• Providers in Warrensville Heights, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.