Active NPI
Kareem Abdul Hicks
- Professional Counselor
- Houston, TX
National Provider Identifier
1124792007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 83369
- Practice address
- 10902 Katy Fwy Apt 1501
Houston, TX 77043-4914 - Phone
- (862) 230-7819
- NPI assigned
- Aug 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 83396 | TX | |
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 83369 | TX | Primary |
Addresses
Primary practice location
10902 Katy Fwy Apt 1501
Houston, TX 77043-4914
Mailing address
10902 Katy Fwy Apt 1501
Houston, TX 77043-4914
Phone (862) 230-7819
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15380039 | Medicaid | TX | |
| 439230002 | Medicaid | TX | |
| 439230001 | Medicaid | TX |
Other names 1
- Kareem Abdul Hicks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83396 | TX | MD | Counselor |
| 83369 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1124792007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10902 KATY FWY APT 1501",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770434914",
"telephone_number": "862-230-7819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10902 KATY FWY APT 1501",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770434914",
"telephone_number": "862-230-7819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "KAREEM",
"middle_name": "ABDUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-04",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "83396",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "83369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15380039",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "439230002",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "439230001",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREEM",
"last_name": "HICKS",
"middle_name": "ABDUL",
"credential": "LPC 83396",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.