Individual provider Active NPI

Stephanie Stephens Hickerson, LPC

  • Counselor
  • Murfreesboro, TN
National Provider Identifier
1124328240
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC0000002285 Issued in TN
Practice address
1453 A Hope Way
Murfreesboro, TN 37129-3140
Phone
(615) 893-9390
Fax
(615) 893-4966
NPI assigned
Oct 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC0000002285 TN Primary

Addresses

Primary practice location

1453 A Hope Way
Murfreesboro, TN 37129-3140

Mailing address

1453 A Hope Way
Murfreesboro, TN 37129-3140
Phone (615) 893-9390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC0000002285TNMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rutherford County Primary Care Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1124328240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 A HOPE WAY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293140",
            "telephone_number": "615-893-9390",
            "fax_number": "615-893-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 A HOPE WAY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293140",
            "telephone_number": "615-893-9390",
            "fax_number": "615-893-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKERSON",
        "first_name": "STEPHANIE",
        "middle_name": "STEPHENS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "LPC0000002285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.