SUE HICKS LLC
NPI 1124619978
Clinic/Center - Mental Health (Including Community Mental Health Center) in Boise, ID
About Sue Hicks Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUE HICKS LLC (NPI 1124619978) is a healthcare organization registered as a mental health (including community mental health center) in Boise, Idaho and active in the NPI registry since February 2021. The organization lists Sue M Hicks, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sue Hicks Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sue Hicks LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sue Hicks LLC's NPI number?
The NPI number for Sue Hicks LLC is 1124619978. It was assigned to this organization in the NPPES registry on February 2, 2021. The provider is also known as Boise VA Medical Center.
Where is Sue Hicks LLC located?
Sue Hicks LLC is located at 4477 W Emerald St Ste C275, Boise, ID 83706. The listed phone number is (208) 740-0391.
What is Sue Hicks LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Sue Hicks LLC enrolled in Medicare?
Yes. Sue Hicks LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sue Hicks LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Sue Hicks LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sue Hicks LLC was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sue Hicks Llc · NPI 1124619978
Mental Health (Including Community Mental Health Center) organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since February 2, 2021.
## Identity
- **NPI:** 1124619978 (Entity type: Organization)
- **Enumerated:** February 2, 2021
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Also known as:** Boise VA Medical Center (Other Name)
- **Organization subpart:** No
- **Authorized official:** Sue Hicks, OWNER
## Practice location
- **Address:** 4477 W EMERALD ST STE C275, Boise, ID 83706-2078
- **Phone:** (208) 740-0391
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1124619978) · Data from the CMS NPPES public registry.