MR. TIMOTHY J. HICKEY (NPI# 1104853456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104853456 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY J. HICKEY |
| Credential | MS, LPC, CADCIII |
| Practice Address |
620 N 12th Ave Sturgeon Bay WI 54235-1249 |
| Practice Telephone | 9207439554 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | 3010-125 | WI | Behavioral Health & Social Service Providers |
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1680 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39361100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708218 | Timothy Michael Hickey | Psychiatry & Neurology | 2735 Navarre Ave, Suite 102, Oregon, OH 43616-3275 | 2005-05-31 |
| 1346706256 | Timothy Hickey | Nurse Practitioner | 318 W El Norte Pkwy, Escondido, CA 92026-1925 | 2019-02-15 |
| 1114086709 | Timothy J. Hickey | Internal Medicine | 9400 Rosecrans Ave, Bellflower, CA 90706-2246 | 2006-12-08 |
| 1467422899 | Timothy F. Hickey | Family Medicine | 1564 Opossumtown Pike, Frederick, MD 21702-4359 | 2006-01-26 |
| Street Address |
620 N 12TH AVE |
| City | STURGEON BAY |
| State | WI |
| Zip Code | 54235-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124093547 | Counseling Associates of Door County, LLC | Counselor | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2006-02-20 |
| 1306360201 | Simon Rabas | Social Worker | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2017-08-01 |
| 1760806202 | Counseling Associates of Door County, LLC | Counselor | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2014-02-04 |
| 1598067225 | Janet M Tilkens-vanderven | Social Worker | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2010-12-01 |
| 1588991293 | Mona E Pagel | Social Worker | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2009-11-17 |
| 1811170632 | Jody S Jessup | Counselor | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2007-12-14 |
| 1538120993 | Allen L Lukach | Social Worker | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2006-03-28 |
| 1093781536 | William G Nick | Social Worker | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2006-02-24 |
| 1952377640 | Kathleen D Pammer | Counselor | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406648 | Door County Young Men's Christian Association Inc | Health Educator | 1900 Michigan Street, Sturgeon Bay, WI 54235 | 2017-09-25 |
| 1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
| 1578797684 | Rejuvenate Life Chiropractic, LLC | Chiropractor | 44 S 2nd Ave, Sturgeon Bay, WI 54235 | 2009-05-05 |
| 1316198765 | Sheryl Faye Flores | Social Worker | 421 Nebraska Street, Door County Community Programs, Sturgeon Bay, WI 54235 | 2008-10-03 |
| 1609023084 | Leah Rose Wiegand | Licensed Practical Nurse | 925 S. Oxford Ave, Apt 142, Sturgeon Bay, WI 54235 | 2008-08-27 |
| 1609034297 | Laurie T Hoffman | Speech-Language Pathologist | 447 No 6th Ave, Sturgeon Bay, WI 54235 | 2008-05-30 |
| 1841477908 | Randall C Rasmussen | Chiropractor | 5867 Timber Ridge Road, Sturgeon Bay, WI 54235 | 2008-01-30 |
| 1558542910 | Katherine Ann Sperber | Hearing Instrument Specialist | 611d Jefferson, Sturgeon Bay, WI 54235 | 2007-11-14 |
| 1750572913 | Kristine M Matysiak | Physician Assistant | 323 S. 18th Avenue, Sturgeon Bay, WI 54235 | 2007-08-05 |
| 1215141841 | Eyes for You Inc | Technician/Technologist | 160 Cherry Point Mall, Sturgeon Bay, WI 54235 | 2007-05-10 |
| Find all providers in zip 54235 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528034345 | Jeanna J Grahl | Counselor | 50 S Madison Ave, Suite 3, Sturgeon Bay, WI 54235-2742 | 2006-02-23 |
| 1124093547 | Counseling Associates of Door County, LLC | Counselor | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2006-02-20 |
| 1164521126 | Amy L Jahnke | Counselor | 50 S Madison Ave, Suite 3, Sturgeon Bay, WI 54235-2742 | 2006-09-22 |
| 1811907843 | Glen Paul Begrow Jr. | Counselor | 421 Nebraska St, Sturgeon Bay, WI 54235-2249 | 2006-08-09 |
| 1952377640 | Kathleen D Pammer | Counselor | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672326 | Myeshia Cunningham | Counselor | 3936 N 29th St, Milwaukee, WI 53216-2639 | 2020-08-31 |
| 1225646219 | Kaitlyn Schobert | Counselor | 6225 N Lake Dr, Whitefish Bay, WI 53217-4341 | 2020-07-16 |
| 1306464268 | Jennah E Benson | Counselor | 1 S Main Street, Janesville, WI 53545-3977 | 2020-07-08 |
| 1730704115 | Tanya Scheidegger | Counselor | 101 W Broadway # 2, Waukesha, WI 53186-4833 | 2020-06-11 |
| 1336762996 | Monica Lillian Cummings | Counselor | 7751 5th Ave, Kenosha, WI 53143-6006 | 2020-05-18 |
| 1235751447 | Luann Weik | Counselor | Childrens Hospital of Wi Genetics Center, 8915 W Connell Ct, Sta 716, Milwaukee, WI 53226-5322 | 2020-05-11 |
| 1053930867 | Jennifer Betters-bubon | Counselor | 127 E Prospect St, Stoughton, WI 53589-1650 | 2020-04-11 |
| 1700411048 | Kathleen M Allcox | Counselor | 4202 Monona Dr, Madison, WI 53716-1664 | 2020-03-06 |
| 1902437932 | Amanda Kay Harpt | Counselor | 516 Hilltop Dr, Green Bay, WI 54301-2718 | 2020-01-29 |
| 1912537333 | Jody Lee Erlicher | Counselor | 1114 S 11th St, Manitowoc, WI 54220-5217 | 2020-01-24 |
| Find all providers with the same taxonomy | ||||
| City | STURGEON BAY |
| Zip Code | 54235 |
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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.