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COREY HICKENBOTTOM
NPI 1609768936
Counselor - Addiction (Substance Use Disorder) in Ottumwa, IA

Active since July 21, 2025
310 W MAIN ST, OTTUMWA, IA 52501(641) 683-6747 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Corey Hickenbottom NPPES

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

COREY HICKENBOTTOM (NPI 1609768936) is an individual addiction (substance use disorder) provider in Ottumwa, Iowa and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1609768936
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCOREY HICKENBOTTOM
Location Address310 W MAIN STOttumwa, IA 52501-2523
Mailing Address403 W Broadway AveFairfield, IA 52556-3234
Phone(641) 683-6747
Sole ProprietorYes
Enumeration DateJuly 21, 2025
NPPES CertifiedJuly 20, 2025
✔ NPI 1609768936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
310 W MAIN ST, Ottumwa, IA 52501
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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 Corey Hickenbottom's NPI number?

The NPI number for Corey Hickenbottom is 1609768936. It was assigned to this individual provider in the NPPES registry on July 21, 2025.

Where is Corey Hickenbottom located?

Corey Hickenbottom practices at 310 W Main St, Ottumwa, IA 52501. The listed phone number is (641) 683-6747.

What is Corey Hickenbottom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Corey Hickenbottom was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.