Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel Kickham, LPC

Individual provider Professional Counselor · NPI 1174315022

Daniel Kickham, LPC is a Professional Counselor in Manchester, Missouri. Licensed in Missouri. Registered with an NPI since 2025.

Licensed in
MO
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

625 Meramec Station Rd
Manchester, MO 63021-5550
Phone: (314) 266-6159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2025009355 (MO)

Record details

NPI number1174315022
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedMay 19, 2025
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing address914 Kent Ct, Ballwin, MO 63011-3013

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