Individual provider Active NPI

Timothy Ryan Hicks, MS, LPC, LMFT

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1417360355
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0014901 Issued in CO
Practice address
300 S Jackson St Ste 250
Denver, CO 80209-3558
Phone
(630) 974-6602
Fax
(630) 487-2411
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC0014901 CO Primary

Addresses

Primary practice location

300 S Jackson St Ste 250
Denver, CO 80209-3558

Mailing address

1100 Jorie Blvd Ste 300
Suite 300
Oak Brook, IL 60523-2219
Phone (630) 974-6602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260408001841 CO Practitioner - Mental Health Counselor 7719452697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relief Mental Health Clinical Services of Colorado PLLCGroup PAC ID 9335668698, 5 clinicians

Practice addresses (Care Compare)

300 S Jackson St
Suite 250
Denver, CO 80209-3176
Phone (630) 974-6602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC0014901COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Marriage and Family Clinic Professional CurrentSince Apr 26, 2020 Accepting new patients
Relief Mental Health Clinical Services of Colorado PLLC CurrentSince Apr 1, 2026 Accepting new patients
The Marriage and Family Clinic PastSince Apr 26, 2020 Accepting new patients

Locations

300 S Jackson St
Ste 250
Denver, CO 80209

12050 Pecos St
Ste 170
Westminster, CO 80234
Phone (720) 648-8285

1100 Jorie Blvd
Ste 300
Oak Brook, IL 60523
Phone (224) 900-7867

Organizations & group practices 3

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1417360355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JORIE BLVD STE 300",
            "address_2": "SUITE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232219",
            "telephone_number": "630-974-6602",
            "fax_number": "630-487-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST STE 250",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093558",
            "telephone_number": "630-974-6602",
            "fax_number": "630-487-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "TIMOTHY",
        "middle_name": "RYAN",
        "credential": "MS, LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0014901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.