Active NPI
Joniesha Hickson, PSY.D.
- School Counselor
- Washington, DC
National Provider Identifier
1134904642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- Practice address
- 725 19TH St NE
Washington, DC 20002-4713 - Phone
- (202) 572-1017
- Fax
- (202) 986-9240
- NPI assigned
- Aug 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSYA200001219 | DC | |
| School Counselor | 101YS0200X | Primary |
Addresses
Primary practice location
725 19TH St NE
Washington, DC 20002-4713
Mailing address
400 Galloway St NE Apt 118N
Washington, DC 20011-6443
Phone (201) 780-8811
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSYA200001219 | DC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1134904642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 GALLOWAY ST NE APT 118N",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200116443",
"telephone_number": "201-780-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 19TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200024713",
"telephone_number": "202-572-1017",
"fax_number": "202-986-9240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKSON",
"first_name": "JONIESHA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-31",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSYA200001219",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.