MRS. BRIDGET DANIELLE HICKS (MS LMFT) – Marriage & Family Therapist, NPI 1457687477
Marriage & Family Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
324 MARRIAGE AND FAMILY THERAPIST in FL
Provider Addresses for MRS. BRIDGET DANIELLE HICKS (MS LMFT)
1601 HWY 40 E STE M-128
KINGSLAND, GA 315486500
Phone: (912) 882-7383
Type: Mailing
11346 RUSTIC PINES CIR E
JACKSONVILLE, FL 322574501
Phone: (904) 479-8566
Type: Mailing
Pierce Plaza, 360, Pierce Avenue, North Mankato, Nicollet County, Minnesota, 56003, United States
SUITE 209 SIOUX TRAILS MENTAL HEALTH CENTER
NORTH MANKATO, MN 56003
Phone: (507) 388-3181
Fax: (507) 388-3199
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240416004414 | I | Marriage And Family Therapist | FL | TBD |
| I20240703002880 | I | Marriage And Family Therapist | GA | TBD |
| I20241112001627 | I | Marriage And Family Therapist | MN | TBD |
| I20251206000240 | I | Marriage And Family Therapist | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31548)
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