Patricia Marie Hickham, MS, LPCA, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A15075 Issued in NC

Practice address

110 E Bessemer Ave
Greensboro, NC 27401-1414

Phone

(336) 656-8266

NPI assigned

Jan 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1720628654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 LAWNDALE DR APT C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083433",
            "telephone_number": "336-656-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E BESSEMER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011414",
            "telephone_number": "336-656-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKHAM",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "credential": "MS, LPCA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HF Triad
• HF Triad LLC
• HHC Integrated Client Services LLC
• Dillon Walker Hiatt, DPT
• Julie Marie Hiatt, AU.D.
• William H. Hickling, M.D.
• Hicks House of Care
• India Hicks-Cleveland
• Annette Hicks
• Keyona Nicole Hicks

• Mental Health Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.