Organization Active NPI

Kayla Hicks Integrative Health PLLC

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1104418680
Registry record updated Feb 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KAYLA HICKS INTEGRATIVE HEALTH PLLC
Practice address
104 S Freya St BLDG Ste 210
Spokane, WA 99202-4862
Phone
(509) 505-6006
Fax
(509) 232-6572
NPI assigned
Feb 6, 2021
Organization subpart
Yes
Parent organization
KAYLA HICKS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2021

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

Authorized official

Name
Kayla Hicks, LMHCNPI 1487038063
Title
Owner/Therapist
Phone
(509) 505-6006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

104 S Freya St BLDG Ste 210
Spokane, WA 99202-4862

Mailing address

PO Box 31235
Spokane, WA 99223-3020
Phone (509) 505-6006

Other names 2

  • Alive and Wellness Northwest Doing business as
  • Alive and Wellness Northwest PLLC Doing business as

National Provider Directory

National Provider Directory
Part of
Kayla Hicks Integrative Health PLLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612569600000",
    "number": "1104418680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31235",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992233020",
            "telephone_number": "509-505-6006",
            "fax_number": "509-232-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FREYA ST BLDG STE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024862",
            "telephone_number": "509-505-6006",
            "fax_number": "509-232-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYLA HICKS INTEGRATIVE HEALTH PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAYLA HICKS PLLC",
        "enumeration_date": "2021-02-06",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "509-505-6006",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alive and Wellness Northwest",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alive and Wellness Northwest PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2021; 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.