ANGELA NICOLE HICKENBOTTOM LMFT
NPI 1679886279
Marriage & Family Therapist in Gilroy, CA

Active since July 23, 2010PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2021, Sep 19, 2016 (2 updates tracked since 2016).

About Angela Nicole Hickenbottom Lmft NPPES

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

ANGELA NICOLE HICKENBOTTOM LMFT (NPI 1679886279) is an individual marriage & family therapist in Gilroy, California, licensed in California (LMFT102595) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1679886279
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameANGELA NICOLE HICKENBOTTOMCredential: LMFT
Location Address1215 1ST STGilroy, CA 95020-4733
Mailing Address1215 1st StGilroy, CA 95020-4733 · (408) 613-4055
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 23, 2010
Last NPPES UpdateJune 23, 20212 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
NPI 1679886279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · LMFT102595
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1215 1ST ST, Gilroy, CA 95020

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

Angela Nicole Hickenbottom Lmft 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 ID5395184576
PECOS Enrollment IDI20240420000257
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 11

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

Behavior Technician
1215 1ST ST
GILROY, CA 95020
Marriage & Family Therapist
1215 1ST ST
GILROY, CA 95020
Licensed Psychiatric Technician
1215 1ST ST
GILROY, CA 95020
Community/Behavioral Health
1215 1ST ST
GILROY, CA 95020
Counselor (Mental Health)
1215 1ST ST
GILROY, CA 95020
Social Worker (Clinical)
1215 1ST ST
GILROY, CA 95020
Counselor (Mental Health)
1215 1ST ST
GILROY, CA 95020
Psychiatry & Neurology (Psychiatry)
1215 1ST ST
GILROY, CA 95020

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 Angela Hickenbottom's NPI number?

The NPI number for Angela Hickenbottom is 1679886279. It was assigned to this individual provider in the NPPES registry on July 23, 2010.

Where is Angela Hickenbottom located?

Angela Hickenbottom practices at 1215 1st St, Gilroy, CA 95020. The listed phone number is (408) 613-4055.

What is Angela Hickenbottom's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Angela Hickenbottom enrolled in Medicare?

Yes. Angela Hickenbottom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Angela Hickenbottom was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.