Jennifer Lara Bianca Hicks, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF#69207 Issued in CA

Practice address

560 Oakland Ave
Oakland, CA 94611-5471

Phone

(510) 601-1929

NPI assigned

Oct 22, 2012

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

Other names 1

• Jennie Hicks Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1952654477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 OAKLAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115471",
            "telephone_number": "510-601-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 OAKLAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115471",
            "telephone_number": "510-601-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JENNIFER",
        "middle_name": "LARA BIANCA",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF#69207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIE",
            "last_name": "HICKS",
            "credential": "M.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kevin Hickman
• Larry Hickman
• David A Hicks
• David Shelby Hicks, M.A.
• Dorian Janay Hicks
• Jonathan Karl Hicks
• Kathleen Hicks
• Kathleen Joy Hicks, M.D.
• Kimberly Hicks, M.D.
• Matthew Ronald Hicks, LCSW

• Marriage & Family Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.