MR. SAMUEL DENNIS HICKSON
NPI 1487397071
Counselor in Tulsa, OK

Q: What is Samuel Hickson's NPI number?

The NPI number for Samuel Hickson is 1487397071. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Q: What is Samuel Hickson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Hickson was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 20, 2022PECOS Enrolled

2325 S HARVARD AVE, TULSA, OK 74114(918) 712-4301(918) 560-1399 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2022, Apr 20, 2022 (2 updates tracked since 2022).

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About Mr. Samuel Dennis Hickson NPPES

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

MR. SAMUEL DENNIS HICKSON (NPI 1487397071) is an individual counselor in Tulsa, Oklahoma and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487397071

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. SAMUEL DENNIS HICKSON

Location Address2325 S HARVARD AVETulsa, OK 74114-3300

Mailing Address2325 S Harvard AveTulsa, OK 74114-3300 · (918) 712-4301

Phone(918) 712-4301

Fax(918) 560-1399

Sole ProprietorNo

Enumeration DateApril 20, 2022

Last NPPES UpdateJune 6, 20222 updates tracked since enumeration

NPPES CertifiedJune 6, 2022

✔ NPI 1487397071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

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.

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

2325 S HARVARD AVE, Tulsa, OK 74114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Samuel Dennis Hickson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

TAMARA CAROL DANLEY BA

Case Manager/Care Coordinator