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

Jamie Hickman, MA

Individual provider Mental Health Counselor · NPI 1124656384

Jamie Hickman, MA is a Mental Health Counselor in Baltimore, Maryland. Qualified in 2019, 7 years ago. Practices with Bon Ridge Wellness LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2020
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

124 Slade Ave Ste 101
Baltimore, MD 21208-4900
Phone: (443) 680-7931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LGP10322 (MD)
Mental Health Counselor Taxonomy 101YM0800X · Licence LGP10322 (MD)

Record details

NPI number1124656384
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESMarch 31, 2020
Certification dateMarch 31, 2020

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Bon Ridge Wellness Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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