Active NPI
Kevin Richard Hicks, LSW, IS
- Case Manager/Care Coordinator
- Mountain View, AR
National Provider Identifier
1689855702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 211 Blanchard
Mountain View, AR 72560-0492 - Phone
- (870) 269-8100
- Fax
- (870) 269-2196
- NPI assigned
- Nov 16, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
211 Blanchard
Mountain View, AR 72560-0492
Mailing address
PO Box 492
Mountain View, AR 72560-0492
Phone (870) 269-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2662-B | Other | AR | SOCIAL WORKER LIC. BOARD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Resources of Arkansas, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Mountain View, AR
- NPI 1518103191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1689855702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 492",
"city": "MOUNTAIN VIEW",
"state": "AR",
"postal_code": "725600492",
"telephone_number": "870-269-8100",
"fax_number": "870-269-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 BLANCHARD",
"city": "MOUNTAIN VIEW",
"state": "AR",
"postal_code": "725600492",
"telephone_number": "870-269-8100",
"fax_number": "870-269-2196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "KEVIN",
"middle_name": "RICHARD",
"credential": "LSW, IS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-16",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORKER LIC. BOARD",
"identifier": "2662-B",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, AR
- Cheri Hebert, PTA
- Lisa Henry, RECOVERY ASSISTANT
- Stacy Herrington, RECOVERY ASSISTANT
- Ronald Gene Herron
- Harold Hess, RECOVERY ASSISTANT
- Highlands of Mountain View RCF Holdings LLC
- Highlands of Mountain View RCF, LLC
- Highlands of Mountain View SNF Holdings LLC
- Highlands of Mountain View SNF, LLC
- Pamela Hodes, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.