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WALLACE KENT HICKS ED.D. NPI 1356320212


NPI Information

NPI: 1356320212
Provider Name: WALLACE KENT HICKS, ED.D.
Classification: Psychologist - 103TC1900X
Entity Type: Individual

Specialization: Counseling

PECOS Registration: Yes

Address:
7400 NEW LA GRANGE RD
STE 312
LOUISVILLE, KY
ZIP 40222
Phone: (502) 394-9990
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Wallace Kent Hicks, ED.D. is a counseling psychologist in Louisville, KY with 51 years of experience. The provider is a psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms. Wallace Kent Hicks, ED.D. NPI is 1356320212. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year:1973

The provider's business location address is:

7400 NEW LA GRANGE RD
STE 312
LOUISVILLE, KY
ZIP 40222-870
Phone: (502) 394-9990
Fax: (502) 394-9992

The NPI 1356320212 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 45 minutes (HCPCS:90834)
  • Neuropsychological testing evaluation by qualified health care professional, first 60 minutes (HCPCS:96132)

The enumeration date for this NPI number is 1/10/2006 and was last updated on 1/6/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC1900XPsychologistCounselingKY 0227KENTUCKYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1130222OTHERKENTUCKYAPS
2461331000OTHERKENTUCKYMAGELLAN
389002273MEDICAIDKENTUCKY
46162200OTHERKENTUCKYUNITED BEHAVIORAL HEALTH
5009407OTHERKENTUCKYVALUE OPTIONS
693040OTHERKENTUCKYMHN
7R81664MEDICARE UPINKENTUCKY
84139574OTHERKENTUCKYAETNA
9061310MEDICARE PINKENTUCKY
101058075OTHERKENTUCKYCIGNA BEHAVIORAL HEALTH
11179497OTHERKENTUCKYCOMPSYCH
12000000342982OTHERKENTUCKYANTHEM
134716671OTHERKENTUCKYCIGNA HEALTHCARE

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.