Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kerry James Hicks, SUDCC

Individual provider Case Manager/Care Coordinator · NPI 1841941499

Kerry James Hicks, SUDCC is a Case Manager/Care Coordinator in Indio, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
5

Practice location Address checks out

44199 Monroe St Ste B
Indio, CA 92201-3094
Phone: (760) 863-8074
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 17453 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 17453 (CA)
Peer Specialist Taxonomy 175T00000X (CA)
Behavior Technician Taxonomy 106S00000X · Licence R1404530920 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (CA)

Record details

NPI number1841941499
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDCC
Sole proprietorNo
NPI enumeratedJanuary 14, 2022
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

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