Marsha Hicks V

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PSW951 Issued in FL

Practice address

316 Saint Johns Forest Blvd
St Johns, FL 32259-7018

Phone

(352) 502-8126

NPI assigned

Apr 20, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ultima Rehab-FL LLC

  • Geriatric Physical Therapist
  • North Fort Myers, FL
  • NPI 1053970194
  NPD (past)

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1508253352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 SAINT JOHNS FOREST BLVD",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322597018",
            "telephone_number": "352-502-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 SAINT JOHNS FOREST BLVD",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322597018",
            "telephone_number": "352-502-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "MARSHA",
        "name_suffix": "V",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "PSW951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cestau Henry
• Rachel Henry, DNP, AGACNP-BC
• Allison Beth Hentkowski, PA-C
• Alelee Herrera, OTR/L
• Kyle B Herring, DO
• Andrew Hudson Hill, DC
• Stephanie Hill
• Jade Imari Hines
• Zoey Alexis Hodge
• Abby Hodges

• Mental Health Counselor in St Johns, FL
• Providers in St Johns, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.