Ruth Tracey Hickmon, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MH16904 Issued in FL

Practice address

4131 NW 13TH St Ste 206
Gainesville, FL 32609-1863

Phone

(352) 505-2840

NPI assigned

Nov 11, 2019

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1366087694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SE 19TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326410710",
            "telephone_number": "352-246-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 NW 13TH ST STE 206",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326091863",
            "telephone_number": "352-505-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMON",
        "first_name": "RUTH",
        "middle_name": "TRACEY",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH16904",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16904",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH16904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry James Heyman Jr., MD
• Carissa Heyn
• Hibiscus House Rehab, LLC
• Madelyn Shea Hickey
• Skylar Belle Hickey
• Andray T Hicks
• Darius Cornelius Hicks
• Eric Hicks, MS OTR/L
• Horecia J Hicks
• Jaime M Hicks, OTR/L

• Counselor in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Counselor in Florida

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