Organization Active NPI

Aunjuli a. Hicks LPC Limited Liability Company

Doing business as Hicks Group Alternative Mental Health

  • Mental Health Counselor
  • Millburn, NJ
National Provider Identifier
1861743361
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00408800 Issued in NJ
Legal business name
AUNJULI A. HICKS LPC LIMITED LIABILITY COMPANY
Doing business as
Hicks Group Alternative Mental Health
Hicks Group: Wellness Center
Practice address
116 Millburn Ave Ste 104
Millburn, NJ 07041-1919
Phone
(908) 364-7611
Fax
(908) 913-0912
NPI assigned
Sep 24, 2012
Last updated
Dec 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Dr. Aunjuli Hicks, PHDNPI 1225361157
Title
Owner/Managing Director
Phone
(908) 364-7611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00408800 NJ Primary
Professional Counselor 101YP2500X 37PC00408800 NJ
Professional Counselor 101YP2500X 37AC00029500 NJ
School Social Worker 1041S0200X 506814 NJ

Addresses

Primary practice location

116 Millburn Ave Ste 104
Millburn, NJ 07041-1919

Mailing address

116 Millburn Ave Ste 104
Millburn, NJ 07041-1919
Phone (908) 364-7611

Other identifiers 1

IdentifierTypeStateIssuer
1225361157OtherNJNPI INDIVIDUAL PROVIDER NUMBER

Other names 2

  • Hicks Group Alternative Mental Health Doing business as
  • Hicks Group: Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240106000050 NJ Part B Supplier - Clinic/Group Practice 5799136461 Receives reassigned benefits from 1 practitioner
Practice locations: Millburn, NJ

National Provider Directory

National Provider Directory

Locations

2130 Millburn Ave
Ste C8
Maplewood, NJ 07040
Phone (908) 364-7611

116 Millburn Ave
Ste 104
Millburn, NJ 07041
Phone (908) 364-7611

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1861743361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MILLBURN AVE STE 104",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411919",
            "telephone_number": "908-364-7611",
            "fax_number": "908-913-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MILLBURN AVE STE 104",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411919",
            "telephone_number": "908-364-7611",
            "fax_number": "908-913-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUNJULI A. HICKS LPC LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "AUNJULI",
        "authorized_official_title_or_position": "OWNER/MANAGING DIRECTOR",
        "authorized_official_telephone_number": "908-364-7611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00408800",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00408800",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37AC00029500",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "506814",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL PROVIDER NUMBER",
            "identifier": "1225361157",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hicks Group Alternative Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hicks Group: Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.