Active NPI
Rosa Martinez Hicks, MSW
- Mental Health Counselor
- Rego Park, NY
National Provider Identifier
1891952826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 9729 64TH Rd
Rego Park, NY 11374-2240 - Phone
- (718) 896-3400
- Fax
- (718) 459-5621
- NPI assigned
- May 19, 2008
- Last updated
- May 19, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
9729 64TH Rd
Rego Park, NY 11374-2240
Mailing address
1 Pierpointe St
Apt 819F
Yonkers, NY 10701
Phone (718) 710-6343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00244019 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Consultation Center, Inc. | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Elmhurst, NY
- NPI 1295878577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1891952826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PIERPOINTE ST",
"address_2": "APT 819F",
"city": "YONKERS",
"state": "NY",
"postal_code": "10701",
"telephone_number": "718-710-6343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9729 64TH RD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742240",
"telephone_number": "718-896-3400",
"fax_number": "718-459-5621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ HICKS",
"first_name": "ROSA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00244019",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rego Park, NY
- Gregory Mark, DDS
- Marks Home Care Agency of Ny, Inc (Marks Home Care Agency)
- Maroven Physical Therapy LLC
- Christine Charming Marshall
- Martin Torrents, DO, PC
- Altagracia Martinez, MSW
- Gina A Martinez, LMSW
- Oxana Martiniouk, CASAC
- Maryam Aghalar Physical Medicine and Rehabilitation PC
- Masada II Car and Limo Service
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.