Amber Renae Hickok, LPC, CRC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC006789 Issued in GA

Practice address

126 Enterprise Path Ste 201
Hiram, GA 30141-2654

Phone

(678) 567-0920

Fax

(678) 567-0950

NPI assigned

Dec 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Highland Rivers Community Service BoardGroup PAC ID 9032000245, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Highland Rivers Community Service Board

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1447256243
  Medicare reassignment Care Compare group NPD
• Highland Rivers CSB

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1164585543
  NPD
• Highland Rivers CSB

  • Community/Behavioral Health Agency
  • Hiram, GA
  • NPI 1578626917
  NPD (past)

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1649741018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 ENTERPRISE PATH STE 201",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412654",
            "telephone_number": "678-567-0920",
            "fax_number": "706-270-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 ENTERPRISE PATH STE 201",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412654",
            "telephone_number": "678-567-0920",
            "fax_number": "678-567-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKOK",
        "first_name": "AMBER",
        "middle_name": "RENAE",
        "credential": "LPC, CRC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC012051",
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC006789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haven Heart'S Community Development Center, Inc.
• Healing Solutions Wellness Center
• Healing Wings Home Care Providers Inc.
• Alicia Beth Helton, MS, CMHC, ST
• Andrew Henney, DPT
• Highland Rivers Community Service Board
• Highland Rivers CSB
• Sarah Hill, DPT
• Emily Hinds, LPC
• Hiram Center for Family Dentistry

• Mental Health Counselor in Hiram, GA
• Providers in Hiram, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.