P Praxis·MD
● Active Type 1 · Individual

Shayla Renee Hickman, LCPC

Counselor·Ammon, ID· NPI 1225515299 · Enumerated 2018 · 7 years on NPI
Hickman is 1 of 23 counselor providers in Ammon and 1 of 1313 in Idaho.
NPI age
7 years
Enumerated 2018-07-23
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1313 active counselor providers in Idaho.

NPI age
7 years
↓ 2 yr below median (9 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-07Enumerated in NPPES
2018 2026

Where they practice

Practice location
2705 E 17th St
Ammon, ID 834066601
📞 2083467500fax 2083467501
Mailing address
2705 E 17th St
Ammon, ID 834066601
📞 2083467500

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCPC-7945 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 116 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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