Active NPI
Liberty Springs Psychiatry and Therapy
- Psychiatric/Mental Health Nurse Practitioner
- Roanoke, VA
National Provider Identifier
1710868237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- LIBERTY SPRINGS PSYCHIATRY AND THERAPY
- Practice address
- 1215 Corporate Cir SW Ste 200
Roanoke, VA 24018-1400 - Phone
- (727) 504-7073
- NPI assigned
- Sep 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick E Hickey, PMHNP
- Title
- Ceo
- Phone
- (727) 504-7073
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1215 Corporate Cir SW Ste 200
Roanoke, VA 24018-1400
Mailing address
4424 Worthington Cir
Palm Harbor, FL 34685-1158
Phone (727) 504-7073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1215 Corporate Cir SW
Ste 200
Roanoke, VA 24018
Phone (727) 504-7073
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Roanoke, VA
- NPI 1699746099
Family
-
- Psychiatric/Mental Health Nurse Practitioner
- Pinellas Park, FL
- NPI 1598481822
VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771459200000",
"number": "1710868237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4424 WORTHINGTON CIR",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346851158",
"telephone_number": "727-504-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 CORPORATE CIR SW STE 200",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240181400",
"telephone_number": "727-504-7073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY SPRINGS PSYCHIATRY AND THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-10",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A",
"authorized_official_last_name": "HICKEY",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "727-504-7073",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.