LESLIE HICKMAN-FOWLER LAC
NPI 1174667380
Counselor - Mental Health in Jonesboro, AR

Q: What is Leslie Hickman-fowler's NPI number?

The NPI number for Leslie Hickman-fowler is 1174667380. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Q: What is Leslie Hickman-fowler's specialty?

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

Active since February 19, 2007PECOS EnrolledAccepts Medicare Assignment

2707 BROWNS LN, JONESBORO, AR 72401(870) 972-4939(870) 972-4911 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Leslie Hickman-fowler Lac NPPES

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

LESLIE HICKMAN-FOWLER LAC (NPI 1174667380) is an individual mental health provider in Jonesboro, Arkansas, licensed in Arkansas (A0203017) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1174667380

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLESLIE HICKMAN-FOWLERCredential: LAC

Location Address2707 BROWNS LNJonesboro, AR 72401-7213

Mailing Address2707 Browns LnJonesboro, AR 72401-7213 · (870) 972-4939 · Fax (870) 972-4911

Phone(870) 972-4939

Fax(870) 972-4911

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateFebruary 19, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174667380 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 · A0203017

2707 BROWNS LN, Jonesboro, AR 72401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leslie Hickman-fowler Lac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103278759

PECOS Enrollment IDI20240118003584

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.

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.

Group psychotherapy 90853

Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.

87 services11 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMRA THOMAS

Case Manager/Care Coordinator