Kerry James Hicks, SUDCC is a
Case Manager/care Coordinator based in Indio, California. Kerry James Hicks is licensed to practice in California (license number 17453) and his current practice location is
44199 Monroe St Ste B, Indio, California. He can be reached at his office (for appointments etc.) via phone at
(760) 863-8074.
NPI number for Kerry James Hicks is 1841941499 and his current mailing address is 44199 Monroe St, Indio, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841941499.
Healthcare Provider's Profile
| Full Name | Kerry James Hicks |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 44199 Monroe St Ste B, Indio, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841941499
- Provider Enumeration Date: 01/14/2022
- Last Update Date: 08/06/2026
Medical Identifiers
Medical identifiers for Kerry James Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841941499 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17453 (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 17453 (California) | Primary |
| 175T00000X | Peer Specialist | (California) | Secondary |
| 106S00000X | Behavior Technician | R1404530920 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kerry James Hicks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kerry James Hicks, SUDCC
44199 Monroe St,
Indio, CA 92201-3096
Ph: (916) 936-7712 | Kerry James Hicks, SUDCC
44199 Monroe St Ste B,
Indio, CA 92201-3094
Ph: (760) 863-8074 |
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