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

Vivian Hicks, MA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053712711

Vivian Hicks, MA is an Addiction (Substance Use Disorder) Counselor in Jamestown, Kentucky. Licensed in Kentucky and Washington. Registered with an NPI since 2014.

Licensed in
KY, WA
In the registry since
2014
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

79 Lilly Creek Ln
Jamestown, KY 42629-7924
Phone: (253) 625-0141
Fax: (253) 302-5406
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MC60587450 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CO 60457984 (WA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 275012 (KY)

Record details

NPI number1053712711
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedSeptember 11, 2014
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

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