Individual provider Active NPI

Andrew Richard Hickam III, LPC, LPA

  • Mental Health Counselor
  • Big Spring, TX
National Provider Identifier
1851469860
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC 16145 Issued in TX
Practice address
500 Johnson St
Big Spring, TX 79720-2644
Phone
(432) 263-3868
Fax
(432) 263-3402
NPI assigned
Nov 30, 2006
Last updated
Feb 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC 16145 TX Primary
Mental Health Counselor 101YM0800X LPA 15197 TX

Addresses

Primary practice location

500 Johnson St
Big Spring, TX 79720-2644

Mailing address

PO Box 1932
Big Spring, TX 79721-1932
Phone (432) 263-3868

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

LicenseStateTypeSpecialty
LPA 15197TXMDMental Health Counselor
LPC 16145TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1851469860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1932",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797211932",
            "telephone_number": "432-263-3868",
            "fax_number": "432-263-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JOHNSON ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202644",
            "telephone_number": "432-263-3868",
            "fax_number": "432-263-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKAM",
        "first_name": "ANDREW",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LPC, LPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "LPC 16145",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "LPA 15197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.