NPIMap

Organization Active NPI

Anna M. Hickey, Inc.

Doing business as Life Transitions, Inc.

  • Mental Health Counselor
  • Macomb, MI
National Provider Identifier
1952835985
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401014923 Issued in MI
Legal business name
ANNA M. HICKEY, INC.
Doing business as
Life Transitions, Inc.
Practice address
17937 Hall Rd
Macomb, MI 48044-4557
Phone
(586) 255-0499
NPI assigned
Apr 17, 2017
Last updated
Apr 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Anna Marie Hickey, MA, LPC, NCCNPI 1053731067
Title
President
Phone
(586) 255-0499

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6401014923 MI Primary

Addresses

Primary practice location

17937 Hall Rd
Macomb, MI 48044-4557

Mailing address

17937 Hall Rd
Macomb, MI 48044-4557
Phone (586) 255-0499

Other names 1

  • Life Transitions, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201116000245 MI Part B Supplier - Clinic/Group Practice 9335550722 Receives reassigned benefits from 4 practitioners
Practice locations: Macomb, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1952835985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17937 HALL RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444557",
            "telephone_number": "586-255-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17937 HALL RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444557",
            "telephone_number": "586-255-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA M. HICKEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-255-0499",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Transitions, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.

Verify at the official NPI Registry.