Active NPI
Betsy Hicks, M.A., LMFTA
- Marriage & Family Therapist
- Lacey, WA
National Provider Identifier
1447678511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MG60458972
- Practice address
- 677 Woodland Square Loop SE Ste 15
Lacey, WA 98503-1000 - Phone
- (360) 480-8994
- NPI assigned
- Apr 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MG60458972 | WA | Primary |
Addresses
Primary practice location
677 Woodland Square Loop SE Ste 15
Lacey, WA 98503-1000
Mailing address
3902 Prestwick LN SE
Olympia, WA 98501-9100
Phone (360) 480-8994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 27, 2024 through Jan 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MG60458972 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396569600000",
"number": "1447678511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3902 PRESTWICK LN SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985019100",
"telephone_number": "360-480-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 WOODLAND SQUARE LOOP SE STE 15",
"city": "LACEY",
"state": "WA",
"postal_code": "985031000",
"telephone_number": "360-480-8994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "BETSY",
"name_prefix": "Mrs.",
"credential": "M.A., LMFTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-04",
"last_updated": "2014-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "MG60458972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.