Susan Agee Hicks, LPCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

261177 Issued in KY

Practice address

2963 Highway 833
Monticello, KY 42633-8137

Phone

(606) 575-5192

NPI assigned

Nov 30, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1225748239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 HIGHWAY 833",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426338137",
            "telephone_number": "606-575-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 HIGHWAY 833",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426338137",
            "telephone_number": "606-575-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "SUSAN",
        "middle_name": "AGEE",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "261177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip A Hardin, D.M.D.
• Matt J Hesse, O.D.
• Hicks Enterprises of Monticello, LLC (Hicks Golden Years Nursing Home)
• Derek Hicks
• Jason T Hicks, APRN, LCSW
• Fahed Basem Hishmeh, D.M.D.
• Horizon Adult Health Care LLC
• Keisha C Hubbs, LPCC
• Jill M Hughes, LCSW
• Brandy Jackson, APRN

• Professional Counselor in Monticello, KY
• Providers in Monticello, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.