Elizabeth Hicks, PCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E0602164 Issued in OH

Practice address

59 N Dixie Dr Ste C
Vandalia, OH 45377-2067

Phone

(937) 314-1659

NPI assigned

Aug 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Ray of Light Counseling LLC

  • Mental Health Counselor
  • Vandalia, OH
  • NPI 1356796643
  NPD Authorized official

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1174871784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 RADER DR.",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "45377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 N DIXIE DR STE C",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772067",
            "telephone_number": "937-314-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "ELIZABETH",
        "credential": "PCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0602164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Heaston, RN
• Kayla N Heisey
• Todd A Heitkamp, D.C.
• Gwendolyn Renee Helton, LPCC-S, LCDC III
• Lois L Henson, DO
• Susan Lee Hicks
• Latanya Hill
• Christal Hipsher, LPN
• Hocks Pharmacy Inc
• Hocks Pharmacy Inc

• Mental Health Counselor in Vandalia, OH
• Providers in Vandalia, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.