Pauletta Hickman

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

201 Kendall Dr
Lamar, CO 81052-3939

Phone

(719) 336-0261

NPI assigned

Sep 7, 2018

Last updated

Dec 6, 2021By the provider in NPPES

Sex

Female

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

Enrolled in CO

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ryon Medical and Associates, LLCGroup PAC ID 3577714294, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Ryon Medical & Associates, LLC

  • Family Nurse Practitioner
  • La Junta, CO
  • NPI 1861753931
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1952884843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 KENDALL DR",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523939",
            "telephone_number": "719-336-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KENDALL DR",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523939",
            "telephone_number": "719-336-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "PAULETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily A Hatcher, APRN
• Sharon K Headrick, MSW
• Michelle Ann Heck, RN, BSN
• Heather Leigh Hernandez
• Derek T Hettinger
• High Plains Community Health Center Incorporated (High Plains Lamar Clinic)
• High Plains Community Health Center Incorporated (Holly High Plains Dispensary)
• High Plains Community Health Center Incorporated (Family Health Center)
• High Plains Community Health Center Incorporated (High Plains Adult Community Health Center)
• High Plains Community Health Center, Inc. (High Plains Community Health Center Pharmacy)

• Mental Health Counselor in Lamar, CO
• Providers in Lamar, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.