Active NPI
Janet Colleen Hickman, LCPC
- Professional Counselor
- Springfield, IL
National Provider Identifier
1760065114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180003938
- Practice address
- 901 N 1St St Ste 225
Springfield, IL 62702-3760 - Phone
- (217) 788-4065
- Fax
- (217) 788-4147
- NPI assigned
- May 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180003938 | IL | Primary |
Addresses
Primary practice location
901 N 1St St Ste 225
Springfield, IL 62702-3760
Mailing address
PO Box 3428
Springfield, IL 62708-3428
Phone (217) 588-2624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180003938 | Other | IL | LCPC LIC |
Other names 1
- Janet Colleen Motley
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180003938 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Centers of Central Illinois | Professional | Current | Accepting new patients |
| Mental Health Centers of Central Illinois | Current | Accepting new patients |
Locations
901 N 1st St
Ste 225
Springfield, IL 62702
Phone (217) 523-2217
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Springfield, IL
- NPI 1225008113
-
- Clinical Social Worker
- Springfield, IL
- NPI 1750614798
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1760065114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3428",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627083428",
"telephone_number": "217-588-2624",
"fax_number": "217-757-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N 1ST ST STE 225",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627023760",
"telephone_number": "217-788-4065",
"fax_number": "217-788-4147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "JANET",
"middle_name": "COLLEEN",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-04",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180003938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCPC LIC",
"identifier": "180003938",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANET",
"last_name": "MOTLEY",
"middle_name": "COLLEEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.