Sidney Miller Deramus, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-28751 Issued in NC

Practice address

929 15TH St NE Ste 100
Hickory, NC 28601-4162

Phone

(828) 327-6026

Fax

(828) 327-8796

NPI assigned

Apr 24, 2023

Sex

Male

Sole proprietor

No

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.

• Clay Wilson & Associates

  • Community/Behavioral Health Agency
  • Hickory, NC
  • NPI 1275694978

  Addiction (Substance Use Disorder)

  NPD (past)
• Clay, Wilson & Assocaites, Inc.

  • Community/Behavioral Health Agency
  • Hickory, NC
  • NPI 1467947960

  Addiction (Substance Use Disorder)

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 10, 2023.

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1619664232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 VIOLA SIPE DR",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138839",
            "telephone_number": "828-256-3436",
            "fax_number": "828-327-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 15TH ST NE STE 100",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014162",
            "telephone_number": "828-327-6026",
            "fax_number": "828-327-8796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4330 Viola Sipe Dr",
            "address_purpose": "LOCATION",
            "city": "Conover",
            "state": "NC",
            "postal_code": "286138839",
            "country_code": "US",
            "telephone_number": "828-256-3436",
            "fax_number": "828-327-8796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "929 15th St NE Ste 310",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286014162",
            "country_code": "US",
            "telephone_number": "828-327-6026",
            "fax_number": "828-327-8796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "929 15th St NE Ste 330",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286014162",
            "country_code": "US",
            "telephone_number": "828-327-6026",
            "fax_number": "828-327-8796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "929 15th St NE Ste 320",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286014162",
            "country_code": "US",
            "telephone_number": "828-327-6026",
            "fax_number": "828-327-8796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERAMUS",
        "first_name": "SIDNEY",
        "middle_name": "MILLER",
        "credential": "LCAS-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-28751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn M Delserone, RD,LDN
• Melike Demirozu, MSW, LCSWA
• Brittney Lee Demuth, MPH, RD, LDN
• Barbara J Denison, CRNA
• Caleb Andrew Depp, CRNA
• Sarah Dergins, LCSW
• John Joseph Derienzis, PT
• Dermatology Center of Hickory, PA
• Desantis Family Practice
• Michael Christopher Desantis, M.D.

• All providers in Hickory, NC
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.