WALLACE KENT HICKS (ED.D.) – Counseling Psychologist, NPI 1356320212

WALLACE KENT HICKS (ED.D.) is a healthcare provider. based in Louisville, Kentucky. specializing in Counseling Psychologist. They hold the professional credentials ED.D.. They hold a License No. KY 0227 (KY). The NPI Number for WALLACE KENT HICKS (ED.D.) is 1356320212

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
WALLACE KENT HICKS (ED.D.)
NPI
1356320212
Phone
(502) 394-9990
Address
7400 NEW LA GRANGE RD
Enumeration Date
10 January 2006
Last Update Date
6 January 2011

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
5023949990
Graduation Year
1973 (53 years ago)
PAC ID
6204901002
Group Practice PAC ID
5698757003
Professional Enrollment ID
I20080813000449
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for WALLACE KENT HICKS (ED.D.)

  • La Grange Road, Louisville, Jefferson County, Kentucky, 40253, United States

    STE 312

    LOUISVILLE, KY 402224870

    Phone: (502) 394-9990

    Fax: (502) 394-9992

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes8911$0
90791Psychiatric diagnostic evaluation1414$0
View full utilization report →

Insurance plans in this area (ZIP 40222)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698757003View full group profile
NameSpecialtyState
DR. ANNA BERGMAN (PH.D.)
-KY

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Frequently asked questions

Is there an official ID for WALLACE KENT HICKS (ED.D.) in U.S. healthcare records?
The official identifier for WALLACE KENT HICKS (ED.D.) is NPI 1356320212.
Is there an active status for WALLACE KENT HICKS (ED.D.)?
For scheduling context, WALLACE KENT HICKS (ED.D.) is shown as active in the registry.
How would a patient describe WALLACE KENT HICKS (ED.D.)'s focus?
For WALLACE KENT HICKS (ED.D.), the primary taxonomy reads as Counseling Psychologist. Clinical services aligned with this taxonomy classification.
Is WALLACE KENT HICKS (ED.D.) associated with Louisville?
Public fields place WALLACE KENT HICKS (ED.D.) around Louisville, Kentucky. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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