INTEGRATED CARE OF GREATER HICKORY, INC - NPI 1184118663 - Community/Behavioral Health in Hickory, NC

Q: What is Integrated Care Of Greater Hickory, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Integrated Care Of Greater Hickory, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED CARE OF GREATER HICKORY, INC (NPI 1184118663) is a healthcare organization registered as a community/behavioral health in Hickory, North Carolina and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through April 8, 2027 and lists Douglas David Blakeman, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1184118663

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameINTEGRATED CARE OF GREATER HICKORY, INC

Location Address425 7TH AVE SWHickory, NC 28602-3237

Mailing Address425 7th Ave SwHickory, NC 28602-3237 · (828) 322-5915

Phone(828) 322-5915

Organization SubpartNo

Authorized OfficialDouglas David BlakemanChief Administrative Officer · (828) 322-5915

Enumeration DateJune 19, 2018

✔ NPI 1184118663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X

Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

425 7TH AVE SW, Hickory, NC 28602

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Other Identifiers 2

Medicaid8973845NC

Medicaid8902716NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2164589

Integrated Care Of Greater Hickory · Hickory, NC

Active · expires Apr 8, 2027

CLIA Number34D2164589

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateApril 9, 2025

Certificate Expiration DateApril 8, 2027

Laboratory DirectorCorey Richardson

Laboratory Phone(828) 322-5915

Laboratory LocationIntegrated Care Of Greater Hickory741 5th Street SW, Hickory, NC 28602

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHAZLYN MARIAH THOMAS LCSWA

Marriage & Family Therapist