Nicole Hicks, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10818 Issued in MA

Practice address

28 Saunders Rd
Lynn, MA 01904-1571

Phone

(781) 264-3859

NPI assigned

Apr 4, 2019

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holistic Recovery LLCGroup PAC ID 1153865506, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holistic Recovery LLC

  • Mental Health Counselor
  • Danvers, MA
  • NPI 1164180899
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Hicks LLC

  • Adult Mental Health Clinic/Center
  • Lynn, MA
  • NPI 1134739956
  NPD Authorized official

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1306308630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SAUNDERS RD",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019041571",
            "telephone_number": "781-264-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 SAUNDERS RD",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019041571",
            "telephone_number": "781-264-3859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Edgewater Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "MA",
            "postal_code": "018801281",
            "country_code": "US",
            "telephone_number": "781-202-9951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "NICOLE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole@preventionpartnersllc.com",
            "affiliation": "N",
            "address_1": "301 Edgewater Pl Ste 100",
            "city": "Wakefield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018801281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "secure platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "28 Saunders Rd",
            "city": "Lynn",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019041571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joanelsi Hernandez
• Kerri Ann Heroux
• Morgan Brittany Herrick
• Patricia L. Hess, NP
• Katherine Hewlett
• Starr M High, RN
• Mary E Hight
• Michael Hiland
• Jenna Hill, LMHC
• Merry Geralyn Hill, M.S.CCC-SLP

• Mental Health Counselor in Lynn, MA
• Providers in Lynn, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.