James Lee Hicks Jr., SWA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

W1800121 Issued in OH

Practice address

4826 Cranberry Ave NW
Canton, OH 44709-1317

Phone

(330) 338-3784

NPI assigned

Jun 29, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1487149662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4826 CRANBERRY AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447091317",
            "telephone_number": "330-338-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4826 CRANBERRY AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447091317",
            "telephone_number": "330-338-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JAMES",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "SWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "W1800121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Daniel Hickey
• Elizabeth Brooke Hickman, LSW
• Johnett Hickman, LPN
• Latoya Hicks-Gooden, LPN
• Frederick Hicks
• Rachel Hicks, MD
• Nathan Hieb, MD
• Brian T Higashi, CT
• Jessaca M Higginbotham, IMFT
• Mark A Higgins, PTA

• Community/Behavioral Health Agency in Canton, OH
• Providers in Canton, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.