IndividualActive
Daniel Kickham, LPC
NPI 1174315022 · Professional Counselor · Manchester, MO
Daniel Kickham, LPC is a Professional Counselor provider in Manchester, MO (NPI 1174315022).
Provider details
- NPI number
- 1174315022
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- License
- 2025009355 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
625 Meramec Station Rd
Manchester, MO 63021-5550
Phone: (314) 266-6159
Street-level locationGet directions
Mailing address
914 Kent Ct
Ballwin, MO 63011-3013
Registry dates
- Enumerated
- 2025-05-19
- Last updated
- 2025-05-19
- Certified
- 2025-05-19
Frequently asked questions
- What is Daniel Kickham's NPI number?
- Daniel Kickham's National Provider Identifier (NPI) is 1174315022, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Daniel Kickham's specialty?
- Daniel Kickham is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Daniel Kickham located?
- Daniel Kickham's practice location on file with NPPES is 625 Meramec Station Rd, Manchester, MO 63021-5550.
- What is Daniel Kickham's phone number?
- The practice phone number listed in the NPPES registry for Daniel Kickham is (314) 266-6159.
- Is Daniel Kickham's NPI active?
- Yes — Daniel Kickham's NPI (1174315022) is active in the NPPES registry as of the last update on 2025-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.