Individual provider Active NPI

Rickelle Rose Hicks, M.A. LMFT

  • Marriage & Family Therapist
  • Palisade, CO
National Provider Identifier
1104155209
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
941 Issued in CO
Practice address
353 N River Rd
Palisade, CO 81526-9763
Phone
(970) 778-1524
NPI assigned
Dec 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 941 CO Primary

Addresses

Primary practice location

353 N River Rd
Palisade, CO 81526-9763

Mailing address

353 N River Rd
Palisade, CO 81526-9763
Phone (970) 778-1584

Other names 1

  • Rickelle Rose Smyth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
941COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Counseling Marriage & Family Therapist CurrentSince Nov 24, 2025 Accepting new patients
Altitude Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rhicks@altp.pcc-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1104155209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 N RIVER RD",
            "city": "PALISADE",
            "state": "CO",
            "postal_code": "815269763",
            "telephone_number": "970-778-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 N RIVER RD",
            "city": "PALISADE",
            "state": "CO",
            "postal_code": "815269763",
            "telephone_number": "970-778-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "RICKELLE",
        "middle_name": "ROSE",
        "credential": "M.A. LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-18",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICKELLE",
            "last_name": "SMYTH",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palisade, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.