Tiffany Renea Hicks, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

75017 Issued in TX

Practice address

6750 Hillcrest Plaza Dr Ste 304
Dallas, TX 75230-1447

Phone

(214) 448-8557

NPI assigned

Jan 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Butterfly Effect Counseling

  • Community/Behavioral Health Agency
  • Dallas, TX
  • NPI 1336657626
  NPD (past) Authorized official
• Dallas Sigma Counseling Services, Inc.

  • Professional Counselor
  • Carrollton, TX
  • NPI 1790090025
  NPD (past)

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1912415399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 HILLCREST PLAZA DR STE 304",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 HILLCREST PLAZA DR STE 304",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301447",
            "telephone_number": "214-448-8557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1902 Country Club Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750065824",
            "country_code": "US",
            "telephone_number": "972-820-6299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "TIFFANY",
        "middle_name": "RENEA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakimia Hicks IV
• Patricia Joan Hicks, MD
• Rachelle Hicks
• Ravan Hicks
• Tara Hicks, MD
• Xaria Lenae Hicks
• Marlynn Ceredo Hickson
• Taylor Nicole Hickson
• Kamran Hidari
• Niven Hidell, PHARMD

• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.