Active NPI
Elisabeth Egan Hickok, LPC
- Professional Counselor
- Santa Fe, NM
National Provider Identifier
1205013687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 81544
- Practice address
- 20 Sudeste PL
Santa Fe, NM 87508-9380 - Phone
- (512) 516-1543
- Fax
- (505) 983-2167
- NPI assigned
- Jan 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CCMH0209991 | NM | |
| Professional Counselor | 101YP2500X | 81544 | TX | Primary |
Addresses
Primary practice location
20 Sudeste PL
Santa Fe, NM 87508-9380
Mailing address
20 Sudeste PL
Santa Fe, NM 87508-9380
Phone (512) 516-1543
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCMH0209991 | NM | MD | Professional Counselor |
| 81544 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770422400000",
"number": "1205013687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 SUDESTE PL",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875089380",
"telephone_number": "512-516-1543",
"fax_number": "505-983-2167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 SUDESTE PL",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875089380",
"telephone_number": "512-516-1543",
"fax_number": "505-983-2167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKOK",
"first_name": "ELISABETH",
"middle_name": "EGAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-28",
"last_updated": "2026-02-07",
"certification_date": "2026-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CCMH0209991",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "81544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.