Active NPI
Robin Maranda Hicks, LPCC
- Professional Counselor
- Edina, MN
National Provider Identifier
1639897796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3455
- Practice address
- 6550 York Ave S Ste 417
Edina, MN 55435-2336 - Phone
- (952) 426-3034
- Fax
- (612) 801-7177
- NPI assigned
- Aug 16, 2022
- Last updated
- Aug 29, 2022
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3455 | MN | Primary |
Addresses
Primary practice location
6550 York Ave S Ste 417
Edina, MN 55435-2336
Mailing address
4536 58TH Ave N Apt 239
Brooklyn Center, MN 55429-2994
Phone (520) 987-3196
Other names 1
- Robin Maranda Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Hands Psychological and Consulting Services | Current | Accepting new patients | |
| Mary Mullenbach, PHD, LP, Inc | Current | Accepting new patients |
Locations
6550 York Ave S
Ste 417
Minneapolis, MN 55435
Phone (952) 426-3034
Organizations & group practices 2
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.
-
- Clinic/Center
- Brooklyn Center, MN
- NPI 1124702071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1639897796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4536 58TH AVE N APT 239",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554292994",
"telephone_number": "520-987-3196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 YORK AVE S STE 417",
"city": "EDINA",
"state": "MN",
"postal_code": "554352336",
"telephone_number": "952-426-3034",
"fax_number": "612-801-7177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "ROBIN",
"middle_name": "MARANDA",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-16",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "3455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBIN",
"last_name": "WILLIAMS",
"middle_name": "MARANDA",
"credential": "ROBIN HICKS MA, LPCC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.