1. Home
  2. Directory
  3. Arkansas
  4. Russellville
  5. Counselor
  6. NPI Profile

DR. PAUL T HICKERSON PHD, LPC
NPI 1134411036
Counselor - Mental Health in Russellville, AR

Active since May 10, 2011PECOS Enrolled
106 E MAIN, RUSSELLVILLE, AR 72801(479) 692-1208(866) 538-2772 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 15, 2023, Jul 21, 2022, Aug 1, 2017 (3 updates tracked since 2017).

About Dr. Paul T Hickerson Phd, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL T HICKERSON PHD, LPC (NPI 1134411036) is an individual mental health provider in Russellville, Arkansas, licensed in Arkansas (P1408057) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1134411036
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. PAUL T HICKERSONCredential: PHD, LPC
Location Address106 E MAINRussellville, AR 72801-5128
Mailing AddressPo Box 1251Farmington, AR 72730-9998 · (479) 692-1208 · Fax (866) 538-2772
Phone(479) 692-1208
Fax(866) 538-2772
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 10, 2011
Last NPPES UpdateNovember 15, 20233 updates tracked since enumeration
✔ NPI 1134411036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · P1408057
106 E MAIN, Russellville, AR 72801
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul T Hickerson Phd, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294186326
PECOS Enrollment IDI20240112001670
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Paul Hickerson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Restored Life Services Of Arkansas Inc
0.1 mi
Addiction (Substance Use Disorder)
107 N BOSTON PL
Russellville, AR 72801
  • Reassigned Medicare billing, Arkansas enrollment
NPI 1558727024 (479) 219-4100
Restored Life Services Of Arkansas Inc
0.1 mi
Addiction (Substance Use Disorder)
107 N BOSTON PL
Russellville, AR 72801
  • Reassigned Medicare billing, Arkansas enrollment
NPI 1558727024 (479) 219-4100
The Guidance Center - Paris Clinic
33 mi
Community/Behavioral Health
415 S 6TH ST
Paris, AR 72855
  • Reassigned Medicare billing, Arkansas enrollment
  • Medicare enrollment name: Western Arkansas Counseling & Guidance Center, Inc
  • 76 clinicians in this Medicare group
NPI 1801061205 (479) 452-6650

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
368 services24 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Hickerson's NPI number?

The NPI number for Paul Hickerson is 1134411036. It was assigned to this individual provider in the NPPES registry on May 10, 2011.

Where is Paul Hickerson located?

Paul Hickerson practices at 106 E Main, Russellville, AR 72801. The listed phone number is (479) 692-1208.

What is Paul Hickerson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Paul Hickerson enrolled in Medicare?

Yes. Paul Hickerson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Hickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Hickerson reassigns Medicare benefits to 3 organizations: Restored Life Services Of Arkansas Inc (Russellville, AR), Restored Life Services Of Arkansas Inc (Russellville, AR) and The Guidance Center - Paris Clinic (Paris, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Hickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Hickerson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Paul Hickerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Hickerson was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.