Jarrett Royell Hickman, PLPC
Counselor, Professional in Florissant, MO. Individual provider (NPI-1).
NPI number1023964699
StatusActive
Last updated in NPPESJul 24, 2026
Details
- NPI
- 1023964699
- Entity type
- Individual (NPI-1)
- Name
- Jarrett Royell Hickman
- Credential
- PLPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2026
- Certification date
- Jul 24, 2026
- Last updated
- Jul 24, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2026010152 | MO | Yes |
Practice location
11701 W Florissant AveFlorissant, MO 63033-6744
Phone 314-972-8132
Mailing address
Po Box 844715Kansas City, MO 64184-4715
Phone 417-761-5000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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