MRS. RUTH TRACEY HICKMON (NPI# 1366087694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366087694 |
| Entity Type | Individual |
| Full Name | MRS. RUTH TRACEY HICKMON |
| Credential | LMHC |
| Practice Address |
4131 Nw 13th St Ste 206 Gainesville FL 32609-1863 |
| Mailing Address |
1325 Se 19th Ter Gainesville FL 32641-0710 |
| Practice Telephone | 3525052840 |
| Mailing Telephone | 3522465088 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | MH16904 | FL | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MH16904 | FL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MH16904 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4131 NW 13TH ST STE 206 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32609-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548517741 | Watson W Louidor | Counselor | 4131 Nw 13th St Ste 206, Gainesville, FL 32609-1863 | 2012-08-07 |
| 1194118166 | Arzella Hawthorne-louidor | Counselor | 4131 Nw 13th St Ste 206, Gainesville, FL 32609-1863 | 2015-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244707 | Bright Dme LLC | Durable Medical Equipment & Medical Supplies | 4306 Nw 13th Street, Gainesville, FL 32609 | 2020-08-10 |
| 1144799537 | Kimberly Laverna Peterson | Home Health Aide | 636 Nw 26th Ave Apt 119e, Gainesville, FL 32609 | 2018-11-15 |
| 1548712318 | Rebecca Maligno | Social Worker | 825 Nw 23rd Ave Bldg 3 St A, Gainesville, FL 32609 | 2016-10-27 |
| 1023470960 | Laura J Perry | Counselor | 1707 North Main St, Family Medicine At Main, Gainesville, FL 32609 | 2016-03-21 |
| 1336543131 | Christine Brunetti | Pharmacist | 2500 N. Main St, Gainesville, FL 32609 | 2014-10-22 |
| 1114352713 | Samuel Jones IIi | Pharmacist | 2500 N. Main St., Gainesville, FL 32609 | 2013-09-13 |
| 1912348228 | Timothy Manning Rogers | Pharmacist | 2046 Ne Waldo Road, Room 2227, Gainesville, FL 32609 | 2013-07-15 |
| 1205277514 | Arthur Emrie Wharton | Pharmacist | 2046 Waldo Road, Ne, Suite 2200, Gainesville, FL 32609 | 2013-07-15 |
| 1003102864 | Rocky Mountain Holdings LLC | Ambulance | 4375 Ne 48th Ave, Gainesville, FL 32609 | 2011-06-21 |
| 1760774939 | Kyle Edwin Jersey | Registered Nurse | 1128 Ne 20th Place, Gainesville, FL 32609 | 2011-05-06 |
| Find all providers in zip 32609 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477113140 | Catlin Cade Bauer | Counselor | 4421 Nw 39th Ave Ste 3, Gainesville, FL 32606-7221 | 2019-06-16 |
| 1861050247 | Timothy Tackett | Counselor | 4300 Sw 13th St # 2, Gainesville, FL 32608-4006 | 2019-05-31 |
| 1134785934 | Connecting The Dots Services, LLC | Counselor | 901 Nw 8th Ave Ste C18, Gainesville, FL 32601-5089 | 2019-05-16 |
| 1922564012 | Charmayne Latriece Jackson | Counselor | 2601 Nw 23rd Blvd Apt 243, Gainesville, FL 32605-5958 | 2019-02-14 |
| 1407343932 | Michelle Lynn Tanner | Counselor | 7450 Heritage Village Plz Unit 101, Gainesville, VA 20155-3091 | 2018-04-19 |
| 1770093320 | Daniel Mcpherson | Counselor | 4703 Nw 53rd Ave., Suite A-2, Gainesville, FL 32653 | 2017-10-10 |
| 1255860193 | Debra Lynn Weiss Hatfield | Counselor | 2240 Nw 40th Ter Ste A, Gainesville, FL 32605-3590 | 2017-06-05 |
| 1558807701 | Tamara Mckenzie | Counselor | 4300 Sw13th St, Gainesville, FL 32608-4006 | 2017-01-12 |
| 1245776616 | Izerial Toles | Counselor | 324 S Lindsay St, Gainesville, TX 76240-4834 | 2017-01-10 |
| 1306392352 | Brooke Schultz | Counselor | 4400 Sw 13th Street, Gainesville, FL 32608 | 2016-08-30 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32609 |
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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.