CLINTON PICKETT – Mental Health Counselor, NPI 1184088197

CLINTON PICKETT is a healthcare provider. based in Colorado springs, Colorado. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. PSY.0005715 (CO). The NPI Number for CLINTON PICKETT is 1184088197

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
CLINTON PICKETT
NPI
1184088197
Phone
(832) 509-7564
Address
1259 LAKE PLAZA DR STE 255
Enumeration Date
6 April 2016
Last Update Date
20 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195983585
Graduation Year
2020 (6 years ago)
PAC ID
8820496870
Group Practice PAC ID
0840698882
Professional Enrollment ID
I20211230001126
Address ID
CO809063504CO1259XDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

747 CLINICAL PSYCHOLOGIST in CO

Provider Addresses for CLINTON PICKETT

  • 1259 LAKE PLAZA DR STE 255

    COLORADO SPRINGS, CO 809063504

    Phone: (832) 509-7564

    Type: Location

  • 1724 N GILPIN ST

    DENVER, CO 802181206

    Phone: (832) 763-0823

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211230001126IClinical PsychologistCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96137Administration of psychological or neuropsychological test, each additional 30 minutes39124$0
96133Evaluation of neuropsychological test, each additional hour22926$0
96132Evaluation of neuropsychological test, first hour3927$0
96136Administration of psychological or neuropsychological test, first 30 minutes2424$0
90791Psychiatric diagnostic evaluation2018$0
View full utilization report →

Insurance plans in this area (ZIP 80906)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840698882View full group profile
NameSpecialtyState
Clinical PsychologistCO
Clinical PsychologistKS

Reviews

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Frequently asked questions

What number should I use to identify CLINTON PICKETT for billing?
Administrative and clinical systems typically use NPI 1184088197 for CLINTON PICKETT.
Is CLINTON PICKETT currently accepting referrals based on NPI status?
Registry metadata lists CLINTON PICKETT as active.
What does the directory say CLINTON PICKETT does?
Insurance directories may phrase it differently, but here CLINTON PICKETT maps to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is CLINTON PICKETT tied to Colorado Springs, Colorado?
If you are local to Colorado Springs, Colorado, CLINTON PICKETT may be relevant to your search.
Can I export CLINTON PICKETT's record?
You can download the official NPPES record; we summarize key fields for readability.

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