Active NPI
Gena D Hicks, PH.D.
- Counseling Psychologist
- Lafayette, CO
National Provider Identifier
1801067558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 0003773
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0003773 | CO | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Counseling Associates | Current | 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.
-
- Psychologist
- Lafayette, CO
- NPI 1760834717
-
- Mental Health Counselor
- Littleton, CO
- NPI 1891818209
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.