Active NPI
Chandra Hicks, LMHC
- Mental Health Counselor
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH16230
- Practice address
- 10752 Deerwood Park Blvd Ste 100
Jacksonville, FL 32256-4846 - Phone
- (904) 834-1124
- NPI assigned
- May 28, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH16230 | FL | Primary |
| Marriage & Family Therapist | 106H00000X | IMH 13057 | FL |
Addresses
Primary practice location
10752 Deerwood Park Blvd Ste 100
Jacksonville, FL 32256-4846
Mailing address
10752 Deerwood Park Blvd Ste 100
Jacksonville, FL 32256-4846
Phone (904) 834-1124
Other practice location 1
100 Bull St Ste 100
Savannah, GA 31401-3373
Phone (904) 834-1124
Other practice location 2
820 Prudential Dr Ste 512
Jacksonville, FL 32207-8207
Phone (904) 376-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
820 Prudential Dr
Suite 512
Jacksonville, FL 32207-8207
Phone (904) 376-3800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH16230 | FL | MD | Mental Health Counselor |
| IMH 13057 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Behavioral Health, LLC | Mental Health | Current | Accepting new patients |
Locations
820 Prudential Dr
Ste 512
Jacksonville, FL 32207
Phone (904) 202-7900
820 Prudential Dr
Ste 510
Jacksonville, FL 32207
3650 NW Devane St
Lake City, FL 32055
Phone (386) 755-1221
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1386023950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10752 DEERWOOD PARK BLVD STE 100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322564846",
"telephone_number": "904-834-1124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10752 DEERWOOD PARK BLVD STE 100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322564846",
"telephone_number": "904-834-1124"
}
],
"practiceLocations": [
{
"address_1": "100 Bull St Ste 100",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314013373",
"country_code": "US",
"telephone_number": "904-834-1124",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 Prudential Dr Ste 512",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322078207",
"country_code": "US",
"telephone_number": "904-376-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKS",
"first_name": "CHANDRA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH16230",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "IMH 13057",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.