Individual provider Active NPI

Hunter Nikkole Adams, LMFT

  • Marriage & Family Therapist
  • Mooresville, NC
National Provider Identifier
1962048843
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2204 Issued in NC
Practice address
542 Williamson Rd Ste 4
Mooresville, NC 28117-9138
Phone
(704) 550-4538
NPI assigned
Nov 26, 2019
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 12191A NC
Marriage & Family Therapist 106H00000X 2204 NC Primary

Addresses

Primary practice location

542 Williamson Rd Ste 4
Mooresville, NC 28117-9138

Mailing address

542 Williamson Rd Ste 4
Mooresville, NC 28117-9138
Phone (980) 231-1177

Other practice location 1

5814 Checkerberry Ln
Huntersville, NC 28078-3327
Phone (980) 231-1177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 22, 2024 through Apr 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2204NCMDProfessional Counselor
12191ANCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom LKN PLLC Marriage & Family Therapist Current Accepting new patients

Locations

542 Williamson Rd
Ste 4
Mooresville, NC 28117
Phone (704) 245-3016

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.

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1962048843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 WILLIAMSON RD STE 4",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179138",
            "telephone_number": "980-231-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 WILLIAMSON RD STE 4",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179138",
            "telephone_number": "704-550-4538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5814 Checkerberry Ln",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280783327",
            "country_code": "US",
            "telephone_number": "980-231-1177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "HUNTER",
        "middle_name": "NIKKOLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12191A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "2204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.