Jennifer Hicks, PRSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

25-945SUD Issued in WV

Practice address

1236 5TH Ave
Huntington, WV 25701-2207

Phone

(681) 204-5400

Fax

(681) 378-6108

NPI assigned

Apr 24, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hawc

  • Substance Abuse Rehabilitation Facility
  • Huntington, WV
  • NPI 1235843319
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1043007701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 GUYAN AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021151",
            "telephone_number": "304-360-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 5TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012207",
            "telephone_number": "681-204-5400",
            "fax_number": "681-378-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JENNIFER",
        "credential": "PRSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "25-945SUD",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Hicks
• Andrea Hicks, LPC
• Andrew M Hicks, APRN
• Darrell Lee Hicks, PRSS
• Jenna Hicks
• Leah Hicks
• Patricia Charlene Hicks
• Sara Tonya Hicks
• Sierra Paige Hicks
• Ethan Higginbotham

• Peer Specialist in Huntington, WV
• Providers in Huntington, WV by specialty
• Peer Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.