Vivian Hicks, MA - Counselor in Jamestown, KY

Vivian Hicks, MA is a Counselor - Mental Health based in Jamestown, Kentucky. Vivian Hicks is licensed to practice in Washington (license number MC60587450) and her current practice location is 79 Lilly Creek Ln, Jamestown, Kentucky. She can be reached at her office (for appointments etc.) via phone at (253) 625-0141.

NPI number for Vivian Hicks is 1053712711 and her current mailing address is 79 Lilly Creek Ln, Jamestown, Kentucky. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053712711.

Contact Information

Vivian Hicks, MA
79 Lilly Creek Ln,
Jamestown, KY 42629-7924
(253) 625-0141
(253) 302-5406

Map and Direction


Healthcare Provider's Profile

Full NameVivian Hicks
GenderFemale
SpecialityCounselor - Mental Health
Location79 Lilly Creek Ln, Jamestown, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053712711
  • Provider Enumeration Date: 09/11/2014
  • Last Update Date: 06/12/2023

Medical Identifiers

Medical identifiers for Vivian Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053712711NPI-NPPES
MC60587450OtherWAWASHINGTON STATE LMHCA
LH60776174OtherWAMENTAL HEALTH COUNSELOR LICENSE
4397OtherALALABAMA STATE LICENSE
CO 60457984OtherWAWASHINGTON STATE CDPT
275012OtherKYKENTUCKY LPCC LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) CO 60457984 (Washington)Secondary
101YM0800XCounselor - Mental Health 275012 (Kentucky)Secondary
101YM0800XCounselor - Mental Health MC60587450 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vivian Hicks is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Vivian Hicks, MA
79 Lilly Creek Ln,
Jamestown, KY 42629-7924

Ph: (253) 625-0141
Vivian Hicks, MA
79 Lilly Creek Ln,
Jamestown, KY 42629-7924

Ph: (253) 625-0141

Reviews and Comments


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