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

Mr. Timothy Michael Hicks, PCC

Individual provider Professional Counselor · NPI 1831280619

Mr. Timothy Michael Hicks, PCC is a Mental Health Counselor in Ashtabula, Ohio. Qualified in 2004, 22 years ago. Practices with Ravenwood Mental Health Center, a 55-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
22
Licensed in
OH
In the registry since
2006
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Practice location Address checks out

2801 C Ct
Ashtabula, OH 44004-4577
Phone: (440) 998-4210
Fax: (440) 998-6775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.0008268 (OH)

Record details

NPI number1831280619
Entity typeIndividual (Type 1)
GenderMale
Credentials PCC
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESMarch 13, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Ravenwood Mental Health Center — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Ashtabula