Gary Lehn Hicks, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC03785 Issued in AL

Practice address

1816 Childhaven Rd NE
Cullman, AL 35055-5902

Phone

(256) 734-6720

NPI assigned

Apr 9, 2024

Last updated

Apr 9, 2024By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Childhaven, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Cullman, AL
  • NPI 1578668513
  NPD (past)

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1508619529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 SELLERS RD",
            "city": "DORA",
            "state": "AL",
            "postal_code": "350622406",
            "telephone_number": "057-170-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 CHILDHAVEN RD NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555902",
            "telephone_number": "256-734-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "GARY",
        "middle_name": "LEHN",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC03785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam R Hensley, MD
• Heritage Diagnostic Center, LLC
• Tammy Herrick
• Laura Beth Hesterley, LPN
• James Lyle Hickman, LCSW
• Sonya K Hicks, NP
• Johnny Wayne Hightower, PT
• Bryan Ray Hill
• Sharon Lynn Hill, CRNP
• Stephanie Hill

• Professional Counselor in Cullman, AL
• Providers in Cullman, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.