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

Dr. Paul T Hickerson, PHD, LPC

Individual provider Mental Health Counselor · NPI 1134411036

Dr. Paul T Hickerson, PHD, LPC is a Mental Health Counselor in Russellville, Arkansas. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in Arkansas.

Years since qualifying
10
Licensed in
AR
In the registry since
2011
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

106 E Main
Russellville, AR 72801-5128
Phone: (479) 692-1208
Fax: (866) 538-2772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P1408057 (AR)

Record details

NPI number1134411036
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LPC
Sole proprietorYes
NPI enumeratedMay 10, 2011
Last updated in NPPESNovember 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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