Active NPI
Courtney Ann Hicks, LMFT - SUPERVISOR
- Marriage & Family Therapist
- Dallas, TX
National Provider Identifier
1487105680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 202365
- Practice address
- 5600 W. Lovers LN
Ste 307
Dallas, TX 75209 - Phone
- (401) 584-4257
- NPI assigned
- Oct 23, 2016
- 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 | 202365 | TX | Primary |
Addresses
Primary practice location
5600 W. Lovers LN
Ste 307
Dallas, TX 75209
Mailing address
5600 W. Lovers LN
Ste 307
Dallas, TX 75209
Phone (401) 584-4257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202365 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1487105680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 W. LOVERS LN",
"address_2": "STE 307",
"city": "DALLAS",
"state": "TX",
"postal_code": "75209",
"telephone_number": "401-584-4257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 W. LOVERS LN",
"address_2": "STE 307",
"city": "DALLAS",
"state": "TX",
"postal_code": "75209",
"telephone_number": "401-584-4257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "COURTNEY",
"middle_name": "ANN",
"credential": "LMFT - SUPERVISOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-23",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "202365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.