Jewell Patricia Hickman, LPC
Individual provider Active NPI Professional Counselor · Saint Ann, MO
NPI 1487628491 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1487628491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2002010842 (MO)
- Practice address
- 11138 Old Saint Charles Rd
Saint Ann, MO 63074-2113 - Phone
- (314) 344-0983
- Fax
- (314) 344-0983
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|
| 2002010842 | MO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2002010842 | MO | |
| Professional Counselor | 101YP2500X | 2002010842 | MO | Yes |
Addresses
Primary practice location
11138 Old Saint Charles Rd
Saint Ann, MO 63074-2113
Mailing address
9800 Edgefield Dr
Saint Louis, MO 63136-5419
Phone (314) 503-2696
Other providers in Saint Ann, MO
- Gordon Private Care, LLC
- Dianne Gsell
- Kathryn Haile
- Heavenly Hands Home Care LLC
- Helping Hands Home Health LLC
- Hillard K Cohen Inc
- Marguerite Cecile Jacobs
- Tameka Danielle Jamison
- Marchelli Genevieve Jemerson
- Stephanie Jerden
All providers in Saint Ann, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.