Donna A Hicks, MA. LPC, LCDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

83038 Issued in TX

Practice address

601 N Frio St BLDG 2
San Antonio, TX 78207-3011

Phone

(210) 261-3001

Fax

(210) 731-9661

NPI assigned

Nov 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Professional, TX

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  Professional, TX

  Medicare reassignment NPD
• Bexar County Board of Trustees for Mental Health Mental Retardation

  dba The Center for Health Care Services

  • Counselor
  • San Antonio, TX
  • NPI 1730134586

  Professional

  NPD (past)
• Bexar County Board of Trustess for Mental Health and Mental Retardatio

  dba The Center for Health Care Services

  • Clinical Medical Laboratory
  • San Antonio, TX
  • NPI 1215353826
  NPD (past)

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1306482096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5462 DIAMONDBACK TRL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782224025",
            "telephone_number": "210-426-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FRIO ST BLDG 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073011",
            "telephone_number": "210-261-3001",
            "fax_number": "210-731-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "DONNA",
        "middle_name": "A",
        "credential": "MA. LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15112",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hickory Hospice LLC
• Lydia Frances Hicks-Tillmon, FNP
• Brittany Mariah Hicks, LVN
• Cherri Allison Hicks, MSN, APRN, CNS
• Deseree Marie Hicks, RN, BSN
• Jeffery L Hicks, DDS
• Kaycie Marie Hicks
• Summer Hicks
• Chelsea Hidalgo
• Makayla Rain Hidalgo

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.