Individual provider Active NPI

Cheryl D Hicks

  • Counselor
  • Houston, TX
National Provider Identifier
1194937565
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
10181 Issued in TX
Practice address
3003 South Loop W
Sutie 475
Houston, TX 77054-1301
Phone
(713) 383-0888
Fax
(713) 383-0895
NPI assigned
May 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 10181 TX Primary

Addresses

Primary practice location

3003 South Loop W
Sutie 475
Houston, TX 77054-1301

Mailing address

3003 South Loop W
Sutie 475
Houston, TX 77054-1301
Phone (713) 383-0888

Other identifiers 1

IdentifierTypeStateIssuer
157440201MedicaidTX

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10181TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Continuum Integrated Health Services Inc Past Accepting new patients
Continuum Integrated Health Services, Inc PastSince Mar 9, 2007 Accepting new patients

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": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194937565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 SOUTH LOOP W",
            "address_2": "SUTIE 475",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541301",
            "telephone_number": "713-383-0888",
            "fax_number": "713-383-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 SOUTH LOOP W",
            "address_2": "SUTIE 475",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541301",
            "telephone_number": "713-383-0888",
            "fax_number": "713-383-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "CHERYL",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "10181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157440201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.