JEFFREY BRYAN HICKMAN (NPI# 1033394358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033394358 |
Entity Type | Individual |
Full Name | JEFFREY BRYAN HICKMAN |
Credential | LPC |
Practice Address |
1551 E County Line Rd Jackson MS 39211-1801 |
Practice Telephone | 6019060224 |
Practice Fax Number | 6019577344 |
Mailing Telephone | 6019060224 |
Mailing Fax Number | 6019577344 |
Enumeration Date | 2008-01-05 |
Last Update Date | 2013-08-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
1305 | MS | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467703868 | Jeffrey J Hickman | Military Health Care Provider | 3475 Senn Rd Bldg 91, San Diego, CA 92136-5289 | 2012-09-25 |
Street Address |
1551 E COUNTY LINE RD |
City | JACKSON |
State | MS |
Zip Code | 39211-1801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164518874 | John Thomas Barringer | Internal Medicine | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2006-10-04 |
1093228702 | Sentral B Brown | Social Worker | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2017-11-16 |
1962915678 | Andrea Farrar | Social Worker | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2017-11-16 |
1487179156 | Pathway Healthcare - Jackson, Ms, LLC | Family Medicine | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2017-08-03 |
1699140152 | Restore Health Pllc | Clinic/Center | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2015-12-09 |
1982979977 | Pamela Teresa Moore | Nurse Practitioner | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2012-03-09 |
1114223500 | On Demand Lab Test LLC | Clinical Medical Laboratory | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2011-02-01 |
1669697801 | William Lelon Aron Jr. | Family Medicine | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2007-04-14 |
1558586792 | Wl Aron Md Pa | Clinic/Center | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2007-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
Find all providers in zip 39211 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902411663 | Kristen Camille Kapler | Counselor | 3899 Division Rd, Jackson, WI 53037-9707 | 2020-09-10 |
1992339071 | Open Door Family Counseling | Counselor | 316 S Brown St Ste A, Jackson, MI 49203-1481 | 2020-02-27 |
1891334108 | Jamie Alane Merrill | Counselor | 1214 Greenwood Ave, Jackson, MI 49203-3037 | 2020-01-03 |
1285273078 | Hall Consulting Services LLC | Counselor | 1155 Briarwood Dr, Jackson, MS 39211-4204 | 2019-12-27 |
1114496387 | New Direction Counseling Center, LLC | Counselor | 1200 N West Ave Ste 809, Jackson, MI 49202-2196 | 2018-11-17 |
1811490964 | Lifeworks Resources, LLC | Counselor | 575 S Royal St Ste 24, Jackson, TN 38301-7307 | 2018-03-15 |
1912409764 | Impact Behavioral Counseling LLC | Counselor | 1551 E County Line Rd Ste B, Jackson, MS 39211-1801 | 2018-03-07 |
1831697317 | Denise June Johnson | Counselor | 906 Lincoln St, Jackson, MI 49202-3251 | 2018-01-30 |
1033626031 | Heather R. Chruch | Counselor | 180 W Michigan Ave Ste 204, Jackson, MI 49201-1342 | 2017-12-29 |
1861908337 | Matthew T Tompkins | Counselor | 810 E Jackson Blvd Ste B1, Jackson, MO 63755-2400 | 2017-12-20 |
Find all providers in JACKSON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.