Jamie Hickman, MA
NPI 1124656384ActiveIndividual· Counselor· Baltimore, MD
Counselor (MA) with Bon Ridge Wellness LLC, practicing in Baltimore, Maryland. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1124656384 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA |
| Sole proprietor | No |
| NPI issued | Mar 31, 2020 |
| Last updated in NPPES | Mar 31, 2020 |
| Certified by provider | Mar 31, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | LGP10322 | MD |
| Counselor, Mental Health | 101YM0800X | LGP10322 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MD) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Bon Ridge Wellness LLCWindsor Mill, MD · 6 clinicians
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