Jill Kathryn Hicks, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-3475 Issued in ID

Practice address

606 N 3Rd Ave Ste 203
Sandpoint, ID 83864-1691

Phone

(208) 265-1090

Fax

(208) 265-3756

NPI assigned

Nov 7, 2006

Last updated

Feb 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bonner General Hospital, Inc

  dba Bonner General Behavioral Health

  • Psychiatry Physician
  • Sandpoint, ID
  • NPI 1982112660
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1922177328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N 3RD AVE STE 203",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641691",
            "telephone_number": "208-265-1090",
            "fax_number": "208-265-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N 3RD AVE STE 203",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641691",
            "telephone_number": "208-265-1090",
            "fax_number": "208-265-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JILL",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-3475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Jane Hennessy, MD
• Amber Renee Henrickson, LCSW
• Mark Edward Hernandez, M.D.
• Grace Hickox-Carriere, LPC
• Jenny Fern Hicks, DOCTORATE OF PT
• Bruce Whitley Honsinger, MD
• Holly Ann Hoopes-Langenfeld, LCSW
• Jane E Hoover, RN MSN FNP
• Todd Michael House, DMD
• Lori Jean Howard, PHARMD

• Mental Health Counselor in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.