Phyllis K. Hicks, D. MIN., NCLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

459 Issued in NC

Practice address

3325 Durham Chapel Hill Blvd Ste 220
Durham, NC 27707-2646

Phone

(919) 489-6452

NPI assigned

May 8, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Pastoral Care and Counseling Institute

  • Pastoral Counselor
  • Durham, NC
  • NPI 1508908658
  NPD (past) Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295948008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MARKHAM DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142114",
            "telephone_number": "919-968-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 DURHAM CHAPEL HILL BLVD STE 220",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072646",
            "telephone_number": "919-489-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "PHYLLIS",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D. MIN., NCLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "42188",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Alice Hicks-Parra, MSW, LCSW
• Charles Hicks
• Elizabeth Daly Hicks, MD
• Jillian Hicks
• Lauren Hicks, AGPCNP-BC
• Shamita Y Hicks, PHARMD
• Hector J Hidalgo, M.D.
• Hidden Treasures of NC LLC
• Amanda Yvonne Hiemenz, MA, NCC, LPC
• Diana Marie Higgins, PH.D.

• Professional Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.