Herbert Grant Hickle, PLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6210 Issued in LA

Practice address

100 Poydras St
Lafayette, LA 70501-4740

Phone

(337) 231-6365

NPI assigned

Nov 25, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lafayette Parish Sheriff'S Office

  • Community/Behavioral Health Agency
  • Lafayette, LA
  • NPI 1689033839
  NPD (past)

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1285008441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 POYDRAS ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705014740",
            "telephone_number": "337-231-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 POYDRAS ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705014740",
            "telephone_number": "337-231-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKLE",
        "first_name": "HERBERT",
        "middle_name": "GRANT",
        "name_prefix": "Mr.",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "3257",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "6210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC BOARD",
            "identifier": "6210",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A'Dair W Herrington, MD
• Christopher Patrick Herrington, MD
• James Patrick Herrington, M.D.
• Scott Masters Hetherwick
• Jamie Michelle Hetzel, PHARMD
• Jennifer Erin Hicks, LOTR
• Katie Hicks
• Renee B Hickson, MD
• Hannah Hebert Hidalgo, NP
• Suzanne Higginbotham, LMT

• Mental Health Counselor in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.