Dennis R Hicks, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT27240 Issued in CA

Practice address

11600 Washington PL Ste 201
Los Angeles, CA 90066-5068

Phone

(310) 390-8646

NPI assigned

Nov 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407921661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 MARCO PL",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913920",
            "telephone_number": "310-823-9556",
            "fax_number": "310-306-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WASHINGTON PL STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665068",
            "telephone_number": "310-390-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "DENNIS",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT27240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giselle Melina Hickman
• Jamontae Latrelle Hickman II
• Leonard Brian Settle Hickman, MD, MSC
• Randi Alexis Hickman, MSN FNP-C
• Adena Marie Hicks, M.D.
• Desiree Hicks
• Dwaun Hicks
• Edith Hicks
• Joan Hicks
• Kristen Hicks

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.