Individual provider Active NPI

Leonard A. Hickman, PH.D, H.S.P.P.

  • Counseling Psychologist
  • Mishawaka, IN
National Provider Identifier
1699770529
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
20040609A Issued in IN
Practice address
230 E Day Rd
Ste 160
Mishawaka, IN 46545-3463
Phone
(574) 271-8222
Fax
(574) 271-8896
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 20040609A IN Primary

Addresses

Primary practice location

230 E Day Rd
Ste 160
Mishawaka, IN 46545-3463

Mailing address

230 E Day Rd
Ste 160
Mishawaka, IN 46545-3463
Phone (574) 271-8222

Other identifiers 2

IdentifierTypeStateIssuer
20040609AOtherINSTATE LICENSE
000000336157OtherINBLUE CROSS BLUE SHIELD

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20040609AINMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
David F Sonego MD PC & Associates PastSince Aug 9, 1994 Accepting new patients

Organizations & group practices 1

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699770529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E DAY RD",
            "address_2": "STE 160",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453463",
            "telephone_number": "574-271-8222",
            "fax_number": "574-271-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E DAY RD",
            "address_2": "STE 160",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453463",
            "telephone_number": "574-271-8222",
            "fax_number": "574-271-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "LEONARD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D, H.S.P.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "20040609A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "20040609A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000336157",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.