Active NPI
Brandie J Hicks
- Professional Counselor
- Covington, LA
National Provider Identifier
1770045775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6576
- Practice address
- 71338 Highway 21 Ste 101
Covington, LA 70433-7162 - Phone
- (985) 624-2942
- Fax
- (985) 231-1373
- NPI assigned
- Apr 1, 2019
- 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 | 6576 | LA | Primary |
Addresses
Primary practice location
71338 Highway 21 Ste 101
Covington, LA 70433-7162
Mailing address
71338 Highway 21 Ste 101
Covington, LA 70433-7162
Phone (985) 624-2942
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6576 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bee Still Grief & Loss Counseling, LLC | Current | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1770045775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71338 HIGHWAY 21 STE 101",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337162",
"telephone_number": "985-624-2942",
"fax_number": "985-231-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71338 HIGHWAY 21 STE 101",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337162",
"telephone_number": "985-624-2942",
"fax_number": "985-231-1373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "BRANDIE",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-01",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "6576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.