Hunter Nikkole Adams, LMFT
Individual provider Active NPI Marriage & Family Therapist · Mooresville, NC
NPI 1962048843 · NPPES record last updated Aug 2, 2022
Key facts
- NPI
- 1962048843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2204 (NC)
- Practice address
- 542 Williamson Rd Ste 4
Mooresville, NC 28117-9138 - Phone
- (704) 550-4538
- NPI assigned
- Nov 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- 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
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12191A | NC | MD | Marriage & Family Therapist |
| 2204 | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blossom LKN PLLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
542 Williamson Rd
Ste 4
Mooresville, NC 28117
Phone (704) 245-3016
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 12191A | NC | |
| Marriage & Family Therapist | 106H00000X | 2204 | NC | Yes |
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
Other providers in Mooresville, NC
- Accordius Health at Mooresville LLC
- Felix Acevedo
- Achieving Balance at the Farm
- Arthur George Adams III
- Brooke Adams
- Todd Jerry Adams
- Adaptive Pediatrics Opco LLC
- Arthur Lee Adcock II
- Kevin C Addison
- Moriah Addison
All providers in Mooresville, NC · Marriage & Family Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.