KENDRA LYNN HICKS (NPI# 1578996328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578996328 |
| Entity Type | Individual |
| Full Name | KENDRA LYNN HICKS |
| Credential | CADC |
| Practice Address |
600 1st Ave Perry IA 50220-1803 |
| Mailing Address |
3125 Douglas Ave Ste 100 Des Moines IA 50310-5310 |
| Practice Telephone | 5155713327 |
| Mailing Telephone | 5155713327 |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11090 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| 1154832970 | Kendra Hicks | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2017-10-19 |
| Street Address |
600 1ST AVE |
| City | PERRY |
| State | IA |
| Zip Code | 50220-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346544053 | Lance Jeremy Stumbo | Counselor | 600 1st Ave, Perry, IA 50220-1803 | 2011-01-10 |
| 1881667731 | Christine Ann Secrist | Marriage & Family Therapist | 600 1st Ave, Perry, IA 50220-1803 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407405897 | Tanna Corrigan | Technician | 2628 Marengo Dr, Perry, IA 50220 | 2019-09-09 |
| 1053963900 | Nicole Dora Mcclavy | Nurse Practitioner | 610 10th St, Perry, Ia 50220, Perry, IA 50220 | 2019-07-11 |
| 1881816882 | Rachel Fazio | Occupational Therapist | 2625 Iowa St, Perry, IA 50220 | 2007-05-02 |
| 1558485151 | Angela Faye Hansen-abbas | Occupational Therapist | 161 315th Street, Perry, IA 50220 | 2007-03-19 |
| 1356405658 | Eye Care Associates PC | Optometrist | 1313 2nd St., Perry, IA 50220 | 2006-12-20 |
| 1962591800 | Nabil Nakhla Faltas | Radiology | 610 10th Street, Dallas Co Hospital, Perry, IA 50220 | 2006-10-11 |
| 1508959172 | Renal Treatment Centers Illinois Inc | Clinic/Center | 610 10th St Ste L100, Perry, IA 50220 | 2006-10-02 |
| 1790702207 | Todd R Miller | Podiatrist | 612 10th St, Perry, IA 50220 | 2006-07-17 |
| 1750349411 | Chad M Kuehl | Physical Therapist | 610 10t St, Perry, IA 50220 | 2006-05-03 |
| 1942672563 | Ronda Hemann | Counselor | 610 10th Street, Perry, IA 50220 | 2015-10-22 |
| Find all providers in zip 50220 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700229465 | Double A Addiction and Recovery Services LLC | Counselor | 4194 S Ridge Rd, Perry, OH 44081-9648 | 2013-04-12 |
| 1750946455 | Compassion Counseling Services, LLC. | Counselor | 115 Main Street, Perry, MI 48872 | 2019-05-08 |
| 1417449166 | Beth Willrich | Counselor | 2812 1st Ave, Perry, IA 50220-9709 | 2018-05-30 |
| 1578006771 | Lawrence Smith Jr. | Counselor | 4194 S Ridge Rd, Perry, OH 44081-9648 | 2016-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823339 | Julie Jorstad | Counselor | 505 5th St Ste 700, Sioux City, IA 51101-1509 | 2020-08-26 |
| 1871102319 | Jon P Muller | Counselor | 415 N Niagara St, Maquoketa, IA 52060-2218 | 2020-07-30 |
| 1669081568 | Jennie Ann Mier | Counselor | 900 N 2nd St Ste 2, Cherokee, IA 51012-1373 | 2020-07-27 |
| 1194349118 | Tammy M Holmstrom | Counselor | 1100 Bank St, Webster City, IA 50595-1906 | 2020-06-05 |
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1700418571 | Daniel Ryan Chute | Counselor | 317 7th Ave Se # 203, Cedar Rapids, IA 52401-2007 | 2020-02-10 |
| 1154968535 | Shannon Deann Stewart | Counselor | 813 N Lincoln St Ste 9, Knoxville, IA 50138-1421 | 2019-12-05 |
| 1194361758 | Kelly Jean Saul | Counselor | 250 20th Ave N, Clinton, IA 52732-2503 | 2019-11-19 |
| 1326689530 | Rachel Anne Nauman | Counselor | 3023 Stellar Eagle Dr, Dubuque, IA 52001-8646 | 2019-09-30 |
| 1730734187 | Tiffany E Heth | Counselor | 1555 Se Delaware Ave Ste M, Ankeny, IA 50021-4011 | 2019-08-02 |
| Find all providers with the same taxonomy | ||||
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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.