NATHANIEL HICKMAN (MS, LMHC) – Mental Health Counselor, NPI 1639927460

NATHANIEL HICKMAN (MS, LMHC) is a healthcare provider. based in Indianapolis, Indiana. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LMHC. They hold a License No. 39003970A (IN). The NPI Number for NATHANIEL HICKMAN (MS, LMHC) is 1639927460

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
NATHANIEL HICKMAN (MS, LMHC)
NPI
1639927460
Phone
(317) 282-3088
Address
1515 N POST RD STE A
Enumeration Date
7 May 2024
Last Update Date
7 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7652315672
Graduation Year
2014 (12 years ago)
PAC ID
5395287890
Group Practice PAC ID
1153761184
Professional Enrollment ID
I20240612002263
Address ID
IN479331708CR115XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

893 MENTAL HEALTH COUNSELOR in IN

Provider Addresses for NATHANIEL HICKMAN (MS, LMHC)

  • 1515 N POST RD STE A

    INDIANAPOLIS, IN 462194213

    Phone: (317) 282-3088

    Fax: (317) 295-2555

    Type: Mailing

  • 545 CHRISTY DR

    GREENWOOD, IN 461431086

    Phone: (317) 282-3088

    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: 2024-06-12

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
I20240612002263IMental Health CounselorINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46219)

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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: 1153761184View full group profile
NameSpecialtyState
Mental Health CounselorIN

Reviews

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Frequently asked questions

What identifier follows NATHANIEL HICKMAN (MS, LMHC) across health systems?
The NPI 1639927460 uniquely identifies NATHANIEL HICKMAN (MS, LMHC) in U.S. healthcare data.
Should I treat NATHANIEL HICKMAN (MS, LMHC) as an active provider?
Patients and plans typically see NATHANIEL HICKMAN (MS, LMHC) as active in the national extract.
What services align with NATHANIEL HICKMAN (MS, LMHC)'s listing?
NATHANIEL HICKMAN (MS, LMHC)'s public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NATHANIEL HICKMAN (MS, LMHC)?
NATHANIEL HICKMAN (MS, LMHC) is associated with Indianapolis, Indiana in the same public data insurers reference.
Who maintains NATHANIEL HICKMAN (MS, LMHC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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