MS. JORDAN DIANE HICKSON (NPI# 1336629948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336629948 |
| Entity Type | Individual |
| Full Name | MS. JORDAN DIANE HICKSON |
| Credential | LPC, NCC |
| Practice Address |
3389 Summit Ridge Dr Rochester Hills MI 48306-2953 |
| Practice Telephone | 2485057712 |
| Mailing Telephone | 2485057712 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401013783 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 640 N Old Woodward Ave Ste 301, Birmingham, MI 480093883 | 2485057712 |
| Street Address |
3389 SUMMIT RIDGE DR |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48306-2953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750887188 | Richard Beck | Health Educator | 4986 N Adams Rd Suite D, Rochester, MI 48306 | 2018-04-04 |
| 1245733484 | Christopher C Smith | Registered Nurse | 2451 Westwood Dr, Rochester Hills, MI 48306 | 2018-03-14 |
| 1598268096 | Janet Miller Kniahymycky | Counselor | 3680 Edinborough Drive, Rochester Hills, MI 48306 | 2018-03-12 |
| 1477076750 | Laura Beth Leblanc | Dietitian, Registered | 4859 Freer Street, Rochester, MI 48306 | 2017-07-19 |
| 1477909141 | Danielle Monette | Technician, Other | 1918 Watson Circle, Rochester, MI 48306 | 2016-05-11 |
| 1881053254 | Autumn Fick | Social Worker | 3901 Beaubein Blvd, Children's Hospital of Mi, Detroit, MI 48306 | 2016-02-15 |
| 1538569959 | Margaret Smyth | Registered Nurse | 4986 Adams Rd, Suite D, Rochester, MI 48306 | 2014-09-04 |
| 1730433178 | Kendall Rose Lalko | Dietitian, Registered | 4986 Adams Road, Rochester, MI 48306 | 2012-11-07 |
| 1558691378 | Juliet Rachal Cumming | Residential Treatment Facility, Physical Disabilities | 2728 Partridge Dr., Rochester, MI 48306 | 2009-12-29 |
| 1073780300 | Cynthia Jean Gardiner | Pharmacist | 6970 N Rochester Rd, Rochester, MI 48306 | 2008-05-15 |
| Find all providers in zip 48306 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295168177 | Teresa Visoso-rangel | Counselor | 2685 Steamboat Springs Dr, Rochester Hills, MI 48309-1364 | 2013-08-15 |
| 1467722942 | Oakland Hills Counseling, LLC | Counselor | 1854 W Auburn Rd Ste 210, Rochester Hills, MI 48309-3868 | 2011-12-30 |
| 1912157298 | Jennifer Monette | Counselor | 2841 Melvin Ave, Rochester Hills, MI 48307-4866 | 2008-09-24 |
| 1629230743 | Don Sidelinker | Counselor | 272 Toucan St, Rochester Hills, MI 48309-3468 | 2008-06-30 |
| 1851519359 | Ascension Eastwood Behavioral Health | Counselor | 110 W. South Blvd, Suite 200, Rochester Hills, MI 48307-5150 | 2007-04-23 |
| 1568517175 | Tobi Yvette Russell | Counselor | 945 S Rochester Rd, Suite 101, Rochester Hills, MI 48307-2762 | 2007-01-24 |
| 1811594609 | Craig Gromek | Counselor | 145 Rochdale Dr S Ste F, Rochester Hills, MI 48309-2275 | 2020-10-05 |
| 1245858182 | Melissa Pearl Waters | Counselor | 145 Rochdale Dr S, Rochester Hills, MI 48309-2275 | 2020-07-08 |
| 1558901199 | Deirdra Marie Rodriguez | Counselor | 145 Rochdale Dr S, Rochester Hills, MI 48309-2275 | 2020-01-12 |
| 1982250619 | Karen Broski | Counselor | 145 Rochdale Dr S, Rochester Hills, MI 48309-2275 | 2019-08-19 |
| Find all providers in ROCHESTER HILLS | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48306 |
Please comment or provide details below to improve the information on MS. JORDAN DIANE HICKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.