Organization Active NPI

Hillcrest Counseling LLC

  • Mental Health Counselor
  • Camden, SC
National Provider Identifier
1992416937
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HILLCREST COUNSELING LLC
Practice address
222 Hackamore Lane
Camden, SC 29020-1755
Phone
(770) 845-6711
NPI assigned
Dec 12, 2022
Last updated
May 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Leslie NuckollsNPI 1316445992
Title
Therapist
Phone
(770) 845-6711

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 Primary

Addresses

Primary practice location

222 Hackamore Lane
Camden, SC 29020-1755

Mailing address

945 N Point Dr
Alpharetta, GA 30022-8266

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leslienuckolls@hillcrestcounseling.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250218002952 GA Part B Supplier - Clinic/Group Practice 2062932262 Receives reassigned benefits from 1 practitioner
Practice locations: Alpharetta, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1992416937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 N POINT DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 HACKAMORE LANE",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290201755",
            "telephone_number": "770-845-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "NUCKOLLS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "770-845-6711"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leslienuckolls@hillcrestcounseling.net",
            "affiliation": "N",
            "address_1": "945 N Point Dr",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300228266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camden, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.