VIVIAN HICKS MA NPI 1053712711

NPI Information

NPI: 1053712711
Provider Name: VIVIAN HICKS, MA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
79 LILLY CREEK LN
JAMESTOWN, KY
ZIP 42629
Phone: (253) 625-0141
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Vivian Hicks, MA is a mental health counselor in Jamestown, KY. Vivian Hicks, MA NPI is 1053712711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

79 LILLY CREEK LN
JAMESTOWN, KY
ZIP 42629-924
Phone: (253) 625-0141
Fax: (253) 302-5406

The enumeration date for this NPI number is 9/11/2014 and was last updated on 6/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CO 60457984	WASHINGTON	No
2	101YM0800X	Counselor	Mental Health	275012	KENTUCKY	No
3	101YM0800X	Counselor	Mental Health	MC60587450	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MC60587450	OTHER	WASHINGTON	WASHINGTON STATE LMHCA
2	LH60776174	OTHER	WASHINGTON	MENTAL HEALTH COUNSELOR LICENSE
3	4397	OTHER	ALABAMA	ALABAMA STATE LICENSE
4	CO 60457984	OTHER	WASHINGTON	WASHINGTON STATE CDPT
5	275012	OTHER	KENTUCKY	KENTUCKY LPCC LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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