Active NPI
Sandra Hicks, LCASA
- Addiction (Substance Use Disorder) Counselor
- Henderson, NC
National Provider Identifier
1790446573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCAS-26330
- Practice address
- 943 W Andrews Ave Ste H
Henderson, NC 27536-2562 - Phone
- (252) 433-0611
- Fax
- (252) 433-0065
- NPI assigned
- Jan 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-26330 | NC | Primary |
Addresses
Primary practice location
943 W Andrews Ave Ste H
Henderson, NC 27536-2562
Mailing address
993 S Beckford Dr
Henderson, NC 27536-5908
Phone (252) 767-9323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-26330 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Interoperability endpoints
- sandra.hicks.p1@direct.daymarkrecovery.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1790446573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "993 S BECKFORD DR",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275365908",
"telephone_number": "252-767-9323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "943 W ANDREWS AVE STE H",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275362562",
"telephone_number": "252-433-0611",
"fax_number": "252-433-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "SANDRA",
"name_prefix": "Ms.",
"credential": "LCASA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-04",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-26330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NC
- Henderson Wellness Center, PA
- Henderson/Vance Healthcare, Inc.
- Henderson/Vance Healthcare, Inc.
- Henderson/Vance Healthcare, Inc. (Maria Parham Regional Home Health)
- Cheryl Harris Hester, FNP
- Whitney Rae Hicks
- Matthew Stephen Higgins, MD
- Higher Aspiraton Corp
- Karen Wood Highlander, FNP-C
- Tracey Duncan Hight, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.