Catresa Monique Hicks, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178.006409 Issued in IL

Practice address

57 White Oaks Rd
Matteson, IL 60443-1086

Phone

(708) 679-9137

Fax

(708) 503-6267

NPI assigned

Feb 26, 2014

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

Other names 1

• Catresa Monique Wilson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1386069490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WHITE OAKS RD",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431086",
            "telephone_number": "708-679-9137",
            "fax_number": "708-503-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 WHITE OAKS RD",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431086",
            "telephone_number": "708-679-9137",
            "fax_number": "708-503-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "CATRESA",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.006409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATRESA",
            "last_name": "WILSON",
            "middle_name": "MONIQUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Sabrina Angelica Hernandez
• Jason David Hickmott
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• Home Sweet Home Healthcare Services

• Counselor in Matteson, IL
• Providers in Matteson, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.