INTEGRATED CARE OF GREATER HICKORY, INC (NPI# 1184118663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184118663 |
| Entity Type | Organization |
| Organization Name | INTEGRATED CARE OF GREATER HICKORY, INC |
| Practice Address |
425 7th Ave Sw Hickory NC 28602-3237 |
| Practice Telephone | 8283225915 |
| Mailing Telephone | 8283225915 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Authorized Official Name | MR. DOUGLAS DAVID BLAKEMAN (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 8283225915 |
| Authorized Official Credential | RMA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8973845 | 05 | |
| NC | 8902716 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699268565 | Integrated Care of Greater Hickory, Inc | Family Medicine | 1228 N Flint St, Lincolnton, NC 28092 | 2018-06-14 |
| 1194219931 | Integrated Care of Greater Hickory, Inc | Family Medicine | 1228 N Flint St, Lincolnton, NC 28092-5239 | 2018-06-15 |
| 1235622101 | Integrated Care of Greater Hickory, Inc | Counselor | 741 5th St Sw, Hickory, NC 28602 | 2018-06-14 |
| 1962995837 | Integrated Care of Greater Hickory, Inc | Counselor | 741 5th St Sw, Hickory, NC 28602 | 2018-06-14 |
| 1679078836 | Integrated Care of Greater Hickory, Inc | Counselor | 741 5th St Sw, Hickory, NC 28602 | 2018-03-28 |
| 1366972325 | Integrated Care of Greater Hickory, Inc | Family Medicine | 350 E Parker Rd, Morganton, NC 28655 | 2017-06-13 |
| 1376600718 | Integrated Care of Greater Hickory, Inc | Counselor | 425 7th Ave Sw, Hickory, NC 28602 | 2007-01-03 |
| Street Address |
425 7TH AVE SW |
| City | HICKORY |
| State | NC |
| Zip Code | 28602-3237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174518419 | Julie Carol Day | Social Worker | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2005-09-13 |
| 1689117335 | Douglas Blakeman | Counselor | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2016-11-29 |
| 1982837506 | Angela Beachkofsky | Marriage & Family Therapist | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2009-08-31 |
| 1932343605 | Mary Barbara Staunton | Psychologist | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2009-04-27 |
| 1063531515 | Elbert Andrew Rudisill Jr. | Family Medicine | 425 7th Ave Sw, Hickory, NC 28602 | 2007-03-28 |
| 1376600718 | Integrated Care of Greater Hickory, Inc | Counselor | 425 7th Ave Sw, Hickory, NC 28602 | 2007-01-03 |
| 1821088246 | Chelsea M. Wakefield | Social Worker | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2005-10-26 |
| 1043209711 | Crossroads Counseling | Counselor | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2005-10-17 |
| 1023005634 | Angela S. Langford | Counselor | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2005-09-29 |
| 1538154794 | Heather Anne Teague | Psychologist | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2005-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
| Find all providers in zip 28602 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598319212 | Clay, Wilson & Assocaites, Inc. | Community/Behavioral Health | 929 15th St Ne Ste 240, Hickory, NC 28601-4162 | 2019-07-31 |
| 1407400120 | Clay, Wilson & Assocaites, Inc. | Community/Behavioral Health | 929 15th St Ne Ste 250, Hickory, NC 28601-4162 | 2019-07-31 |
| 1154975878 | Clay, Wilson & Assocaites, Inc. | Community/Behavioral Health | 929 15th St Ne Ste 310, Hickory, NC 28601-4162 | 2019-07-31 |
| 1780238402 | Clay, Wilson & Assocaites, Inc. | Community/Behavioral Health | 929 15th St Ne Ste 330, Hickory, NC 28601-4162 | 2019-07-31 |
| 1932762648 | Divine Resolutions, LLC | Community/Behavioral Health | 315 1st Ave Nw Ste 200, Hickory, NC 28601-6168 | 2019-04-18 |
| 1508222431 | Counseling Catawba | Community/Behavioral Health | 74 8th St Se Ste 208, Hickory, NC 28602-1130 | 2016-01-07 |
| 1851718548 | Support Incorporated | Community/Behavioral Health | 2110 Main Ave Se Ste West, Hickory, NC 28602-1405 | 2014-03-20 |
| 1164863809 | Metro Treatment of North Carolina, Lp | Community/Behavioral Health | 1152 Lenoir Rhyne Blvd Se, Hickory, NC 28602-5168 | 2013-07-10 |
| 1427338086 | Spirit Song, LLC | Community/Behavioral Health | 922 3rd Ave Nw, Hickory, NC 28601-4849 | 2011-08-26 |
| 1861655623 | Supported Living Youth, Family and Children Services, Inc. | Community/Behavioral Health | 741 5th St Sw, Suite 16, Hickory, NC 28602-3230 | 2008-07-02 |
| Find all providers in HICKORY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.