Individual provider Active NPI

Nichole Sherrie Hickman

  • Professional Counselor
  • West Chester, OH
National Provider Identifier
1144586868
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0900532-SUPV Issued in OH
Practice address
8300 Princeton Glendale Rd Ste 105
West Chester, OH 45069-1677
Phone
(513) 714-4430
NPI assigned
Apr 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.0900532-SUPV OH Primary

Addresses

Primary practice location

8300 Princeton Glendale Rd Ste 105
West Chester, OH 45069-1677

Mailing address

8300 Princeton Glendale Rd Ste 105
West Chester, OH 45069-1677
Phone (513) 714-4430

Other identifiers 1

IdentifierTypeStateIssuer
0172681MedicaidOH

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
E.0900532-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marriage & Fam Matters Counseling and Education Services LLC Professional CurrentSince Jan 8, 2023 Accepting new patients

Locations

1585 Compton Rd
Cincinnati, OH 45231
Phone (513) 541-0405

100 S 3rd St
Hamilton, OH 45011

1021 Central Ave
Middletown, OH 45044
Phone (513) 420-4522

300 E Business Way
Ste 200
Sharonville, OH 45241
Phone (513) 224-3597

8300 Princeton Glendale Rd
Ste 105
West Chester, OH 45069
Phone (513) 714-4430

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": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1144586868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 PRINCETON GLENDALE RD STE 105",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691677",
            "telephone_number": "513-714-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 PRINCETON GLENDALE RD STE 105",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691677",
            "telephone_number": "513-714-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "NICHOLE",
        "middle_name": "SHERRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0900532-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0172681",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.