Individual provider Active NPI

Rozie' Hickerson, MPA

  • Addiction (Substance Use Disorder) Counselor
  • New Orleans, LA
National Provider Identifier
1205201860
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
2601 Tulane Ave Ste 300
New Orleans, LA 70119-7499
Phone
(504) 281-4453
Fax
(504) 281-4412
NPI assigned
Dec 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X
Behavior Analyst 103K00000X
Case Manager/Care Coordinator 171M00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

2601 Tulane Ave Ste 300
New Orleans, LA 70119-7499

Mailing address

2601 Tulane Ave Ste 300
New Orleans, LA 70119-7499
Phone (504) 281-4453

Other practice location 1

1814 Saint Anthony St
New Orleans, LA 70116-1106
Phone (832) 347-5475

Other practice location 2

1538 Louisiana Ave
New Orleans, LA 70115-3553
Phone (504) 896-2345

Other names 1

  • Romell Hickerson Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1205201860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 TULANE AVE STE 300",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197499",
            "telephone_number": "504-281-4453",
            "fax_number": "504-281-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 TULANE AVE STE 300",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197499",
            "telephone_number": "504-281-4453",
            "fax_number": "504-281-4412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1814 Saint Anthony St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701161106",
            "country_code": "US",
            "telephone_number": "832-347-5475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1538 Louisiana Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701153553",
            "country_code": "US",
            "telephone_number": "504-896-2345",
            "fax_number": "504-896-2240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKERSON",
        "first_name": "ROZIE'",
        "credential": "MPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROMELL",
            "last_name": "HICKERSON",
            "credential": "MPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.