Beverly June Hicks, M.D., LPC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

003662-042571 Issued in NC

Practice address

901 Paverstone Dr
Raleigh, NC 27615-4710

Phone

(919) 847-2197

Fax

(919) 846-7748

NPI assigned

Oct 21, 2005

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Northridge Psychological Service PC

  • Adult Mental Health Clinic/Center
  • Raleigh, NC
  • NPI 1114127024
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1336139302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PAVERSTONE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154708",
            "telephone_number": "919-847-2197",
            "fax_number": "919-846-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PAVERSTONE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154710",
            "telephone_number": "919-847-2197",
            "fax_number": "919-846-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "BEVERLY",
        "middle_name": "JUNE",
        "credential": "M.D., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "3377",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2874",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "003662-042571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Hickman
• Ronnie Eugene Hickmon
• Meredith Ann Hickory, PSY.D.
• Alecia Frances Hicks
• Amber Hicks
• Bria Brown Hicks, FNP-C
• Brianna Hicks
• Brianna Hicks, LCMHC
• Connie Fairley Hicks, DNP-NP
• Cuong Hicks, RPH

• Marriage & Family Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.