Matthew Hickman, RBT
Individual provider Active NPI Mental Health Counselor · Neptune Beach, FL
NPI 1144707753 · NPPES record last updated Jul 26, 2018
Key facts
- NPI
- 1144707753
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 804 3Rd St Suite Ab
Neptune Beach, FL 32266 - Phone
- (904) 701-2926
- NPI assigned
- Jul 26, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-61519 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-61519 | FL | |
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
804 3Rd St Suite Ab
Neptune Beach, FL 32266
Mailing address
2111 Fordham Cir N
Jacksonville, FL 32217-9121
Phone (912) 667-9007
Other providers in Neptune Beach, FL
- Patricia Ann Griffis
- John Eric Haas
- Chrisoula Marie Harris
- Helena Health LLC
- Richard Scott Herbert
- Katherine Vasiliki Hicks
- Donatella Bellamia Hill
- Holiday CVS LLC
- Homecall MD LLC
- Judi Anne Howard
All providers in Neptune Beach, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.