Individual provider Active NPI

Jason A Hicks, LPCC

  • Professional Counselor
  • Somerset, KY
National Provider Identifier
1255753216
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
252249 Issued in KY
Practice address
349 Bogle St
Somerset, KY 42503-2895
Phone
(606) 485-4611
NPI assigned
Jan 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 127148 KY
Professional Counselor 101YP2500X 252249 KY Primary

Addresses

Primary practice location

349 Bogle St
Somerset, KY 42503-2895

Mailing address

349 Bogle St
Somerset, KY 42503-2895
Phone (606) 219-6694

Other practice location 1

101 Adanta Cir
Albany, KY 42602-9549
Phone (606) 387-7635

Other practice location 2

21 Middleground Way
London, KY 40744
Phone (606) 657-5470

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
127148KYMDMental Health Counselor
252249KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1255753216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 BOGLE ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032895",
            "telephone_number": "606-219-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 BOGLE ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032895",
            "telephone_number": "606-485-4611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Adanta Cir",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "KY",
            "postal_code": "426029549",
            "country_code": "US",
            "telephone_number": "606-387-7635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Middleground Way",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "40744",
            "country_code": "US",
            "telephone_number": "606-657-5470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JASON",
        "middle_name": "A",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-10",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "127148",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "252249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.