Bridget Danielle Hicks, MS LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT3310 Issued in FL

Practice address

11346 Rustic Pines Cir E
Jacksonville, FL 32257-4501

Phone

(904) 479-8566

NPI assigned

Oct 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bridget Danielle Pollack Former name

Medicare fee-for-service enrollment

Enrolled in FL, GA, MN, MA4 enrollments

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 4

Specialty

Marriage and Family Therapist

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA, MA, MN

  Medicare reassignment NPD

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1457687477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11346 RUSTIC PINES CIR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322574501",
            "telephone_number": "904-479-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11346 RUSTIC PINES CIR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322574501",
            "telephone_number": "904-479-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "BRIDGET",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "MS LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "POLLACK",
            "middle_name": "DANIELLE",
            "credential": "POLLACK-NABER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandria Hicks
• Alicia Nicole Hicks, CRDH
• Ariel V Hicks
• Bailey Hicks
• Betty Anne Hicks, MS DEGREE
• Chandra Hicks, LMHC
• Corey Hicks, M. ED. CCC-SLP
• Diamond Hicks
• Jessica R Hicks, CNA
• Kayla Lashon Hicks

• Marriage & Family Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.