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

Mr. Timothy Michael Hicks, PCC

Individual provider Professional Counselor · NPI 1831280619

Mr. Timothy Michael Hicks, PCC is a Mental Health Counselor in Ashtabula, Ohio. Qualified in 2004, 22 years ago. Practices with Ravenwood Mental Health Center, a 55-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
22
Licensed in
OH
In the registry since
2006
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Practice location Address checks out

2801 C Ct
Ashtabula, OH 44004-4577
Phone: (440) 998-4210
Fax: (440) 998-6775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.0008268 (OH)

Record details

NPI number1831280619
Entity typeIndividual (Type 1)
GenderMale
Credentials PCC
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESMarch 13, 2015
Mailing address2801 C Ct, Ashtabula, OH 44004-4577

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Ravenwood Mental Health Center — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Ashtabula