MATT HICKMAN LCPC
NPI 1669022281
Counselor - Professional in Bloomington, IL

Active since September 16, 2019
207 W JEFFERSON ST STE 401, BLOOMINGTON, IL 61701(309) 431-1296 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2022, Sep 16, 2019 (2 updates tracked since 2019).

About Matt Hickman Lcpc NPPES

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

MATT HICKMAN LCPC (NPI 1669022281) is an individual professional provider in Bloomington, Illinois, licensed in Illinois (178.013357) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1669022281
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMATT HICKMANCredential: LCPC
Location Address207 W JEFFERSON ST STE 401Bloomington, IL 61701-3969
Mailing Address207 W Jefferson St Ste 401Bloomington, IL 61701-3969 · (309) 431-1296
Sole ProprietorYes
Enumeration DateSeptember 16, 2019
Last NPPES UpdateSeptember 8, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
NPI 1669022281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 178.013357
207 W JEFFERSON ST STE 401, Bloomington, IL 61701

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
207 W JEFFERSON ST STE 401
BLOOMINGTON, IL 61701

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 Matt Hickman's NPI number?

The NPI number for Matt Hickman is 1669022281. It was assigned to this individual provider in the NPPES registry on September 16, 2019.

Where is Matt Hickman located?

Matt Hickman practices at 207 W Jefferson St Ste 401, Bloomington, IL 61701. The listed phone number is (309) 431-1296.

What is Matt Hickman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Matt Hickman was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.