Michelle Hider, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

106498 Issued in CA

Practice address

2363 Boulevard Cir Ste 2
Walnut Creek, CA 94595-1173

Phone

(925) 393-8661

NPI assigned

Aug 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1417357690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 BOULEVARD CIR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 BOULEVARD CIR STE 2",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951173",
            "telephone_number": "925-393-8661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Van Buren Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946104340",
            "country_code": "US",
            "telephone_number": "510-268-3770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIDER",
        "first_name": "MICHELLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417357690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Kathleen Hickey
• Nicole Catherina Hickey, M.D.
• Janet De la Fuente Hicks
• Keishanna Hicks
• Lawren S Hicks, M.D.
• Phalina Hiep
• Nina E Higgins, M.D.
• Samantha Hightower, B.A., M. ED., BCBA
• Amanda Jean Hill, MS, ATC, PES
• Andral Hill

• Marriage & Family Therapist in Walnut Creek, CA
• Providers in Walnut Creek, 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 Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.