JASON A HICKS (NPI# 1255753216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255753216 |
| Entity Type | Individual |
| Full Name | JASON A HICKS |
| Credential | LPCC |
| Practice Address |
349 Bogle St Somerset KY 42503-2895 |
| Practice Telephone | 6064854611 |
| Mailing Telephone | 6062196694 |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2019-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
127148 | KY | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
252249 | KY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Adanta Cir, Albany, KY 426029549 | 6063877635 | |
| 21 Middleground Way, London, KY 40744 | 6066575470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699958744 | Jason A Hicks | Pathology | 195 Inverness Dr W Ste 120, Englewood, CO 80112-5206 | 2007-12-12 |
| 1023034097 | Jason Hicks | Internal Medicine | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 | 2006-07-14 |
| 1215931720 | Jason T Hicks | Physician Assistant | 419 S Coral St, Kalkaska, MI 49646-2503 | 2005-06-13 |
| 1609145879 | Jason A Hicks | Pharmacist | 1703 W Main St, Lebanon, TN 37087-3193 | 2011-12-17 |
| 1740595867 | Jason Larnce Hicks | Dentist | 315 Mchugh Blvd, Commanding Officer, 2d Denbn/ndc, Psc 20130, Camp Lejeune, NC 28542-0130 | 2010-08-12 |
| 1245403161 | Jason T Hicks | Social Worker | 1 S Creek Dr Ste 102, Monticello, KY 42633-9472 | 2008-04-11 |
| 1306885033 | Jason Hicks | Physician Assistant | 500 S Maple St, Waconia, MN 55387-1752 | 2006-06-06 |
| Street Address |
349 BOGLE ST |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-2895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366422644 | Robert William Cameron | Internal Medicine | 349 Bogle St, Suite B, Somerset, KY 42503-2895 | 2006-01-20 |
| 1215562012 | Britney Napier | Case Manager/Care Coordinator | 349 Bogle St, Somerset, KY 42503-2895 | 2020-03-12 |
| 1144721036 | Kylie Lewis | Counselor | 349 Bogle St, Somerset, KY 42503-2895 | 2018-02-26 |
| 1508222316 | Ullanda Douglas | Counselor | 349 Bogle St, Somerset, KY 42503-2895 | 2016-01-08 |
| 1487058574 | Tonya Watson | Nurse Practitioner | 349 Bogle St, Suite B, Somerset, KY 42503-2895 | 2014-10-17 |
| 1538594668 | Lake Cumberland Physician Practices, LLC | Internal Medicine | 349 Bogle St, Suite A, Somerset, KY 42503-2895 | 2013-09-09 |
| 1467894089 | Nathan Kyle Bennett | Physician Assistant | 349 Bogle St, Suite B, Somerset, KY 42503-2895 | 2013-07-24 |
| 1629333125 | Baptist Physicians Lexington, Inc | Physician Assistant | 349 Bogle St, Suite B, Somerset, KY 42503-2895 | 2012-07-10 |
| 1740492651 | Lake Cumberland Cardiovascular Associates | Internal Medicine | 349 Bogle St, Suite B, Somerset, KY 42503 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457916264 | Heather E Revill | Counselor | 98 Fair Dr, Somerset, MA 02726-5926 | 2019-05-07 |
| 1467911172 | Kaley Flynn | Counselor | 205 E Mount Vernon St, Somerset, KY 42501-1412 | 2019-03-13 |
| 1598241259 | Tammy Lynn Schaale | Counselor | 175 Blackjack Trail, Somerset, TX 78069-7806 | 2018-07-16 |
| 1578066635 | Tracy Colleen Mcquarter | Counselor | 600 Monticello St, Somerset, KY 42501-2974 | 2018-03-15 |
| 1962923193 | Luis R. Esparza | Counselor | 93 Village Dr, Somerset, TX 78069-3951 | 2017-06-28 |
| 1023550712 | Nicole Schlett | Counselor | 48 Norma Ave Apt 3c, Somerset, NJ 08873-3156 | 2016-11-10 |
| 1669925301 | Amy Ruggirello | Counselor | 107 Cedar Grove Ln Ste 104, Somerset, NJ 08873-4719 | 2016-07-29 |
| 1770940611 | Corna Rutherford | Counselor | 4341 S Highway 27, Somerset, KY 42501-6105 | 2016-01-22 |
| 1013382142 | Susan Kimmel | Counselor | Georgian Place, Suite 309, Somerset, PA 15501 | 2015-12-01 |
| 1245613157 | Sonya Johnson | Counselor | 6 Ronald Dr, Somerset, NJ 08873-5134 | 2015-07-09 |
| Find all providers in SOMERSET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.