Taylor James Robert Hicks, CADC II, CRPS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

RA9931120 Issued in CA

Practice address

3900 Rocklin Rd Ste 100
Rocklin, CA 95677-2708

Phone

(916) 234-0097

NPI assigned

Oct 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1942925441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 ROCKLIN RD STE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772708",
            "telephone_number": "916-234-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 ROCKLIN RD STE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772708",
            "telephone_number": "916-234-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "TAYLOR",
        "middle_name": "JAMES ROBERT",
        "credential": "CADC II, CRPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "CA",
            "license": "RACPS9941120",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RA9931120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CONSORTIUM OF ADDICTION PROFESSIONALS",
            "identifier": "RACPS9941120",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CONSORTIUM OF ADDICTION PROFESSIONALS",
            "identifier": "RA9931120",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bob@thepathwayprogram.com",
            "affiliation": "N",
            "endpointDescription": "Confidential Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Confidential Business Email",
            "address_1": "3900 Rocklin Rd Ste 100",
            "city": "Rocklin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956772708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Julie Hildinger
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• Brian William Hinsey I, PHARM D

• Addiction (Substance Use Disorder) Counselor in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.