Derek Hicks

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

735 W Columbia Ave
Monticello, KY 42633-1627

Phone

(606) 348-9318

NPI assigned

Jan 10, 2014

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Lake Cumberland Regional Mental Health Mental Retardation Board, Inc.

  • Community/Behavioral Health Agency
  • Somerset, KY
  • NPI 1336172642
  NPD (past)
• Rise Mental Health and Wellness

  • Mental Health Counselor
  • Monticello, KY
  • NPI 1639730955
  NPD (past)

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1720400757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SOUTHERN SCHOOL RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 W COLUMBIA AVE",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331627",
            "telephone_number": "606-348-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "DEREK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley J Hamblin
• Pamela R. Hancock, APRN
• Philip A Hardin, D.M.D.
• Matt J Hesse, O.D.
• Hicks Enterprises of Monticello, LLC
• Jason T Hicks, APRN, LCSW
• Susan Agee Hicks, LPCA
• Fahed Basem Hishmeh, D.M.D.
• Horizon Adult Health Care LLC
• Keisha C Hubbs, LPCC

• Case Manager/Care Coordinator in Monticello, KY
• Providers in Monticello, KY by specialty
• Case Manager/Care Coordinator in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.