Crystal R Hicks, PH.D

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

321 S Main St
New Castle, IN 47362-4218

Phone

(765) 529-3370

Fax

(765) 529-7269

NPI assigned

Aug 7, 2009

Last updated

Dec 5, 2013By the provider in NPPES

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

Other identifiers 1

Other names 1

• Miss Crystal R Harris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1225269202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9349 NOTRE DAME DR APT C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404169",
            "telephone_number": "765-529-3370",
            "fax_number": "765-529-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S MAIN ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624218",
            "telephone_number": "765-529-3370",
            "fax_number": "765-529-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "CRYSTAL",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200077810A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "HARRIS",
            "middle_name": "R",
            "prefix": "MISS",
            "credential": "PH.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in New Castle, IN
• Providers in New Castle, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.