MEDICARE: MS. KRISTI L HICKEY LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH13540	FL

General Provider Information

NPI Number	:	1932166477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KRISTI L HICKEY LMHC

Provider Business Mailing Address
First Line	:	1909 BEACH BLVD STE 201
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-2643
Country	:	US
Telephone Number	:	904-296-0853
Fax Number	:	904-246-6629

Provider Business Practice Location Address
First Line	:	1909 BEACH BLVD STE 201
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-2643
Country	:	US
Telephone Number	:	904-296-0853
Fax Number	:	904-246-6629

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	09/23/2025

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