Joseph B Hicks, CCMHC, LPCMH
Individual provider Active NPI Mental Health Counselor · Selbyville, DE
NPI 1851471395 · NPPES record last updated Aug 20, 2018
Key facts
- NPI
- 1851471395
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- PC-0000043 (DE)
- Practice address
- 33124 Lighthouse Rd
Selbyville, DE 19975-4018 - Phone
- (302) 436-5868
- Fax
- (302) 436-2035
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000043 | DE | MD | Mental Health Counselor |
| PC-0000043 | DE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph B. Hicks | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0000043 | DE | |
| Mental Health Counselor | 101YM0800X | PC-0000043 | DE | Yes |
Addresses
Primary practice location
33124 Lighthouse Rd
Selbyville, DE 19975-4018
Mailing address
33124 Lighthouse Rd
Selbyville, DE 19975-4018
Phone (302) 436-5868
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000022268 | Medicaid | DE |
Other providers in Selbyville, DE
- Ashley Lauren Hastings
- Johanna Hattier
- Darlene L. Haupt
- Megan Hayes
- Sara Heinicke
- Lindsay J Hitchens
- Jill Hoffman
- James K Kramer DMD PA
- Colleen Jones
- Sarah Joyce
All providers in Selbyville, DE · Mental Health Counselor in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.