AMBER RENAE HICKOK LPC, CRC, NCC
NPI 1649741018
Counselor - Mental Health in Hiram, GA

Q: What is Amber Hickok's NPI number?

The NPI number for Amber Hickok is 1649741018. It was assigned to this individual provider in the NPPES registry on December 11, 2018.

Q: What is Amber Hickok's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Amber Hickok was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 11, 2018PECOS EnrolledAccepts Medicare Assignment

126 ENTERPRISE PATH STE 201, HIRAM, GA 30141(678) 567-0920(678) 567-0950 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2023, Dec 11, 2018 (2 updates tracked since 2018).

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About Amber Renae Hickok Lpc, Crc, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMBER RENAE HICKOK LPC, CRC, NCC (NPI 1649741018) is an individual mental health provider in Hiram, Georgia, licensed in Georgia (APC006789) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1649741018

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameAMBER RENAE HICKOKCredential: LPC, CRC, NCC

Location Address126 ENTERPRISE PATH STE 201Hiram, GA 30141-2654

Mailing Address126 Enterprise Path Ste 201Hiram, GA 30141-2654 · (678) 567-0920 · Fax (706) 270-5111

Phone(678) 567-0920

Fax(678) 567-0950

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 11, 2018

Last NPPES UpdateFebruary 6, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2023

✔ NPI 1649741018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in GA · APC006789✔ Licensed in GA · LPC012051

Also ListedRehabilitation CounselorTaxonomy 225C00000X

126 ENTERPRISE PATH STE 201, Hiram, GA 30141

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amber Renae Hickok Lpc, Crc, Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709238264

PECOS Enrollment IDI20240119002581

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH WANDERS

Counselor (Professional)