IndividualActive
Sidney Deramus, LCAS-A
NPI 1619664232 · Addiction (Substance Use Disorder) Counselor · Hickory, NC
Provider details
- NPI number
- 1619664232
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LCAS-A
- Sex
- Male
- Sole proprietor
- No
- License
- LCAS-28751 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
929 15th St Ne Ste 100
Hickory, NC 28601-4162
Phone: (828) 327-6026
Fax: (828) 327-8796
Street-level locationGet directions
Mailing address
4330 Viola Sipe Dr
Conover, NC 28613-8839
Additional practice locations (4)
- 4330 Viola Sipe DrConover, NC 28613-8839Phone: (828) 256-3436Fax: (828) 327-8796
- 929 15th St Ne Ste 310Hickory, NC 28601-4162Phone: (828) 327-6026Fax: (828) 327-8796
- 929 15th St Ne Ste 330Hickory, NC 28601-4162Phone: (828) 327-6026Fax: (828) 327-8796
- 929 15th St Ne Ste 320Hickory, NC 28601-4162Phone: (828) 327-6026Fax: (828) 327-8796
Registry dates
- Enumerated
- 2023-04-24
- Last updated
- 2023-05-10
- Certified
- 2023-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.