Active NPI
Nakia Stickler
- Mental Health Counselor
- Picayune, MS
National Provider Identifier
1922405349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2007 Wildwood Rd
Picayune, MS 39466-2178 - Phone
- (769) 926-2657
- NPI assigned
- Dec 1, 2014
- Last updated
- Feb 3, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
2007 Wildwood Rd
Picayune, MS 39466-2178
Mailing address
2007 Wildwood Rd
Picayune, MS 39466-2178
Phone (769) 926-2657
Other practice location 1
2626 Charles Dr
Chalmette, LA 70043-3779
Phone (504) 278-6880
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roots Counseling Coaching and Consultation LLC | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Picayune, MS
- NPI 1215794771
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1922405349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 WILDWOOD RD",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394662178",
"telephone_number": "769-926-2657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 WILDWOOD RD",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394662178",
"telephone_number": "769-926-2657"
}
],
"practiceLocations": [
{
"address_1": "2626 Charles Dr",
"address_purpose": "LOCATION",
"city": "Chalmette",
"state": "LA",
"postal_code": "700433779",
"country_code": "US",
"telephone_number": "504-278-6880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STICKLER",
"first_name": "NAKIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-01",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.