Individual provider Active NPI

Gena D Hicks, PH.D.

  • Counseling Psychologist
  • Lafayette, CO
National Provider Identifier
1801067558
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
0003773 Issued in CO
Practice address
1319 W Baseline Rd
Ste 101-B
Lafayette, CO 80026-9307
Phone
(720) 414-1315
Fax
(720) 899-3160
NPI assigned
Mar 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 0003773 CO Primary

Addresses

Primary practice location

1319 W Baseline Rd
Ste 101-B
Lafayette, CO 80026-9307

Mailing address

1319 W Baseline Rd
Ste 101-B
Lafayette, CO 80026-9307
Phone (720) 414-1315

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0003773COMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Counseling Associates CurrentSince Feb 11, 2013 Accepting new patients
Gena Hicks, PHD, LLC Past Accepting new patients

Locations

141 W Davies Ave N
Ste 105
Littleton, CO 80120
Phone (303) 730-1717

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1801067558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 W BASELINE RD",
            "address_2": "STE 101-B",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800269307",
            "telephone_number": "720-414-1315",
            "fax_number": "720-899-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 W BASELINE RD",
            "address_2": "STE 101-B",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800269307",
            "telephone_number": "720-414-1315",
            "fax_number": "720-899-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "GENA",
        "middle_name": "D",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "0003773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.