Individual provider Active NPI

Nathaniel Hickman, MS, LMHC

  • Mental Health Counselor
  • Greenwood, IN
National Provider Identifier
1639927460
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003970A Issued in IN
Practice address
545 Christy Dr
Greenwood, IN 46143-1086
Phone
(317) 282-3088
NPI assigned
May 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39003970A IN Primary

Addresses

Primary practice location

545 Christy Dr
Greenwood, IN 46143-1086

Mailing address

1515 N Post Rd Ste a
Indianapolis, IN 46219-4213
Phone (317) 282-3088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612002263 IN Practitioner - Mental Health Counselor 5395287890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

545 Christy Dr
Suite 142
Greenwood, IN 46143-1086
Phone (317) 207-2299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Mesa Waa Gii, LLC CurrentSince Aug 23, 2024 Accepting new patients
Prelude Behavioral Counseling, LLC Mental Health CurrentSince Oct 10, 2025 Accepting new patients

Locations

115 N Green St
Ste 102
Crawfordsville, IN 47933
Phone (765) 231-5672

545 Christy Dr
Ste 142
Greenwood, IN 46143
Phone (317) 207-2299

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1639927460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N POST RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194213",
            "telephone_number": "317-282-3088",
            "fax_number": "317-295-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 CHRISTY DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431086",
            "telephone_number": "317-282-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "NATHANIEL",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003970A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.