Individual provider Active NPI

Alice Marie Hicks, MHR, LPC

  • Counselor
  • Muskogee, OK
National Provider Identifier
1447491527
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3846 Issued in OK
Practice address
206 N 37TH St
Muskogee, OK 74401-2123
Phone
(918) 706-9711
NPI assigned
Mar 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3846 OK Primary

Addresses

Primary practice location

206 N 37TH St
Muskogee, OK 74401-2123

Mailing address

206 N 37TH St
Muskogee, OK 74401-2123
Phone (918) 706-9711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240403004112 OK Practitioner - Mental Health Counselor 1850739210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Families First IncGroup PAC ID 8628323912, 3 clinicians

Practice addresses (Care Compare)

928 N York St
Suite 44B
Muskogee, OK 74403-3117
Phone (918) 686-5588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3846OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Families First Inc CurrentSince Jan 1, 2024 Accepting new patients
Oklahoma Families First Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

928 N York St
Ste 44B
Muskogee, OK 74403
Phone (918) 686-5588

2600 Van Buren St
Ste 2634
Norman, OK 73072

Organizations & group practices 2

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": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1447491527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 37TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012123",
            "telephone_number": "918-706-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N 37TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012123",
            "telephone_number": "918-706-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "ALICE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MHR, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "3846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.