Jessica Leigh Hicks, LAC, CRC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A2012180 Issued in AR

Practice address

1 Lile CT Ste 200
Little Rock, AR 72205-6240

Phone

(501) 663-1837

NPI assigned

Apr 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1215517818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 STOCKTON DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172915",
            "telephone_number": "501-664-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LILE CT STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056240",
            "telephone_number": "501-663-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "credential": "LAC, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "A2012180",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2012180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roshunda Hicks-Williams
• David Conrad Hicks, M.D.
• David L Hicks, M.D.
• Destiny Hicks
• Gretchen Spring Hicks, MS, CCC-SLP
• Kevin Hicks, MHPP
• Lakese Hicks
• Linda Hicks
• Maya M Hicks
• Nancy V Hicks, LPE

• Mental Health Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.