Individual provider Active NPI

Ashli Jillian Herman-Hickman, LPC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1376167395
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69930 Issued in TX
Practice address
4372 Royal Ridge Dr
Dallas, TX 75229-5462
Phone
(214) 683-5460
NPI assigned
Jun 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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 69930 TX Primary

Addresses

Primary practice location

4372 Royal Ridge Dr
Dallas, TX 75229-5462

Mailing address

4372 Royal Ridge Dr
Dallas, TX 75229-5462
Phone (214) 683-5460

Other names 1

  • Ashli Jillian Herman Professional 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

State licenses

LicenseStateTypeSpecialty
69930TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1376167395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4372 ROYAL RIDGE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295462",
            "telephone_number": "214-683-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4372 ROYAL RIDGE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295462",
            "telephone_number": "214-683-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN-HICKMAN",
        "first_name": "ASHLI",
        "middle_name": "JILLIAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLI",
            "last_name": "HERMAN",
            "middle_name": "JILLIAN",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.