Jacquelyn Suzanne Hicks
NPI 1447860689ActiveIndividual· Counselor, Mental Health· Mason, MI
Counselor, Mental Health in Mason, Michigan, licensed in MI, with an NPI issued in August 2020. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1447860689 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 3, 2020 |
| Last updated in NPPES | Jun 25, 2026 |
| Certified by provider | Jun 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 6401223031 | MI |
| Counselor | 101Y00000X | 6401223031 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MI) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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