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TAMARA HICKS MS, LCMHC
NPI 1558613406
Counselor - Mental Health in Charlotte, NC

Active since October 02, 2012PECOS Enrolled
5501 EXECUTIVE CENTER DR STE 217, CHARLOTTE, NC 28212(980) 949-8811(980) 406-3878 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tamara Hicks Ms, Lcmhc NPPES

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

TAMARA HICKS MS, LCMHC (NPI 1558613406) is an individual mental health provider in Charlotte, North Carolina and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1558613406
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAMARA HICKSCredential: MS, LCMHC
Location Address5501 EXECUTIVE CENTER DR STE 217Charlotte, NC 28212-8823
Mailing Address16948 Commons Creek DrCharlotte, NC 28277-2077 · (980) 949-8811 · Fax (980) 406-3878
Phone(980) 949-8811
Fax(980) 406-3878
Sole ProprietorYes
Enumeration DateOctober 2, 2012
Last NPPES UpdateNovember 5, 2024
NPPES CertifiedNovember 5, 2024
✔ NPI 1558613406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X · License 12067 (NC)
5501 EXECUTIVE CENTER DR STE 217, Charlotte, NC 28212
Open in Google Maps ↗

Secondary Practice Location 1

Location 116948 Commons Creek DrCharlotte, NC 28277-2077 · Phone (704) 293-1901

Other Identifiers 1

OtherA12067Lpca

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tamara Hicks Ms, Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tamara Hicks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
650 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, North Carolina and Oregon enrollments
  • 712 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

TRINITY PLACE RISING SOLUTIONS, INC.
Community/Behavioral Health
5501 EXECUTIVE CENTER DR STE 217
CHARLOTTE, NC 28212
Mecklenburg County (980) 949-8811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamara Hicks's NPI number?

The NPI number for Tamara Hicks is 1558613406. It was assigned to this individual provider in the NPPES registry on October 2, 2012.

Where is Tamara Hicks located?

Tamara Hicks practices at 5501 Executive Center Dr Ste 217, Charlotte, NC 28212. The listed phone number is (980) 949-8811.

What is Tamara Hicks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tamara Hicks enrolled in Medicare?

Yes. Tamara Hicks is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tamara Hicks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Hicks reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tamara Hicks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tamara Hicks accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc, PacificSource Health Plans and UnitedHealthcare list Tamara Hicks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tamara Hicks was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.