Michael Edward Hickman, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP13485 Issued in OH

Practice address

15655 Oh-170
East Liverpool, OH 43920

Phone

(330) 505-1606

Fax

(330) 423-4555

NPI assigned

Nov 8, 2019

Last updated

Nov 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aaris Therapy Group, Inc

  • Speech-Language Pathologist
  • Niles, OH
  • NPI 1104047679
  NPD (past)

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1598300063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W 5TH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439202498",
            "telephone_number": "330-386-2054",
            "fax_number": "330-386-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 OH-170",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "43920",
            "telephone_number": "330-505-1606",
            "fax_number": "330-423-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-08",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP13485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Joshua Hendrix, MD
• Henry J. Parcinski DO,Facos,LLC
• Julianne Henthorn
• Heritage Valley Medical Group, Inc. (HVMG Richard Beatty)
• Heritage Valley Multispecialty Group, Inc. (HVMG The Heart and Vascular Center East Liverpool)
• Addie Highfield, DO
• Heather Hissom, WHNP
• Hles of Ohio Inc
• Shawnda Lyn Hochstetler, MS.ED, LPCC-S
• Philip Hogate, LSW

• Speech-Language Pathologist in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.