Individual provider Active NPI

Rod Hickman, MSSW

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1326199456
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3392 Issued in TX
Practice address
1701 River Run
Suite 911
Fort Worth, TX 76107-6579
Phone
(817) 338-0420
Fax
(817) 338-0370
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3392 TX Primary
Clinical Social Worker 1041C0700X 8680 TX
Marriage & Family Therapist 106H00000X 495 488 TX

Addresses

Primary practice location

1701 River Run
Suite 911
Fort Worth, TX 76107-6579

Mailing address

1701 River Run
Suite 911
Fort Worth, TX 76107-6579
Phone (817) 338-0420

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3392TXMDProfessional Counselor
8680TXMDBehavioral Analyst
495 488TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1326199456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 RIVER RUN",
            "address_2": "SUITE 911",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076579",
            "telephone_number": "817-338-0420",
            "fax_number": "817-338-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 RIVER RUN",
            "address_2": "SUITE 911",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076579",
            "telephone_number": "817-338-0420",
            "fax_number": "817-338-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "ROD",
        "credential": "MSSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "3392",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "8680",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "495 488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.