Individual provider Active NPI

Dora Hicks, LPC, M. ED.

  • Professional Counselor
  • Troy, AL
National Provider Identifier
1679125314
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
75894 Issued in TX
Practice address
153 Scouting Cir
Troy, AL 36081-2540
Phone
(956) 494-3123
NPI assigned
Jul 12, 2019
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 75894 TX Primary

Addresses

Primary practice location

153 Scouting Cir
Troy, AL 36081-2540

Mailing address

153 Scouting Cir
Troy, AL 36081-2540
Phone (956) 494-3123

Other practice location 1

111 Linda Lane
Troy, AL 36079-1200
Phone (956) 494-3123

Other identifiers 1

IdentifierTypeStateIssuer
75894OtherTXLICENSED PROFESSIONAL COUNSELING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
75894TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1679125314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 SCOUTING CIR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812540",
            "telephone_number": "956-494-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 SCOUTING CIR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812540",
            "telephone_number": "956-494-3123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Linda Lane",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "AL",
            "postal_code": "360791200",
            "country_code": "US",
            "telephone_number": "956-494-3123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "DORA",
        "name_prefix": "Ms.",
        "credential": "LPC, M. ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELING",
            "identifier": "75894",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.