NICHOLE R FANGMAN (NPI# 1114326931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114326931 |
| Entity Type | Individual |
| Full Name | NICHOLE R FANGMAN |
| Credential | LPCC |
| Practice Address |
4339 Winston Ave Covington KY 41015-1739 |
| Practice Telephone | 8598352573 |
| Practice Fax Number | 8597276327 |
| Mailing Telephone | 8598352573 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2016-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 163557 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100389150 | 05 |
| Street Address |
4339 WINSTON AVE |
| City | COVINGTON |
| State | KY |
| Zip Code | 41015-1739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699723155 | Cindy Marie Becknell | Counselor | 4339 Winston Ave, Covington, KY 41015-1739 | 2006-05-05 |
| 1750866497 | Mebs Holdings Inc. | Community/Behavioral Health | 4339 Winston Ave, Covington, KY 41015-1739 | 2018-09-28 |
| 1770085722 | Mebs Holdings Inc. | Community/Behavioral Health | 4339 Winston Ave, Covington, KY 41015-1739 | 2018-03-06 |
| 1619426749 | Taylor Bishop | Social Worker | 4339 Winston Ave, Covington, KY 41015-1739 | 2016-09-30 |
| 1629443692 | Taylor West | Counselor | 4339 Winston Ave, Covington, KY 41015-1739 | 2015-12-02 |
| 1568834372 | Kimberly D Newman | Counselor | 4339 Winston Ave, Covington, KY 41015-1739 | 2015-10-21 |
| 1205205085 | Rachel Michelle Lyons | Counselor | 4339 Winston Ave, Covington, KY 41015-1739 | 2015-09-22 |
| 1750788261 | Andrew Glockner | Social Worker | 4339 Winston Ave, Covington, KY 41015 | 2014-11-26 |
| 1053714022 | Lauren Lynch | Counselor | 4339 Winston Ave, Covington, KY 41015-1739 | 2014-10-03 |
| 1447669288 | Jamie Lynn Siler | Counselor | 4339 Winston Ave, Covington, KY 41015-1739 | 2014-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609386580 | Brandon D Smith | Respite Care | 686 Wischer Dr, Taylor Mill, KY 41015 | 2017-10-05 |
| 1669868394 | Katy Hoffman | Counselor | 4339 Winston Avenue, Latonia Center, Covington, KY 41015 | 2015-04-09 |
| 1750499166 | Drs Halpin Psc | Dentist | 5150 Taylor Mill Road, Taylor Mill, KY 41015 | 2006-08-26 |
| 1114996196 | Ryland Heights and Community Volunteer Fire Dept Inc | Ambulance | 10041 Decoursey Pike, Ryland Heights, KY 41015 | 2006-03-14 |
| 1922445303 | Laura Mcginnis Foor | Family Medicine | 5522 Taylor Mill Rd, Taylor Mill, KY 41015 | 2013-05-27 |
| 1124319579 | Tawnya Kordenbrock | Counselor | 3800 Church St., Covington, KY 41015-0742 | 2011-04-20 |
| 1184723918 | Paula Weber | Social Worker | 3629 Church St, Covington, KY 41015-1430 | 2006-09-21 |
| 1679911408 | Kara L Riegler | Counselor | 3629 Church St, Covington, KY 41015-1430 | 2013-06-14 |
| 1326224288 | Laura K Jackson | Counselor | 3629 Church St, Covington, KY 41015-1430 | 2008-01-10 |
| 1386855401 | Randi Beth Sutnick | Counselor | 3629 Church St, Covington, KY 41015-1430 | 2007-05-24 |
| Find all providers in zip 41015 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659893 | John M Dean | Counselor | 100 S Tyler St Ste 7a, Covington, LA 70433-3050 | 2019-10-03 |
| 1629638358 | Sahro Ahmed Diriye | Counselor | 17120 Se 276th St Apt B509, Covington, WA 98042-4633 | 2019-06-14 |
| 1518458116 | Emily Holland | Counselor | 201 Holiday Blvd Ste 120, Covington, LA 70433-5088 | 2018-05-20 |
| 1053848804 | Tanasha Robinson | Counselor | 73080 Becky Rd, Covington, LA 70435-5864 | 2017-05-11 |
| 1346697620 | Dianna Elizabeth Burgess | Counselor | 129 N Pearl St, Covington, OH 45318-1611 | 2016-05-17 |
| 1275994097 | Jaquita Garrett | Counselor | 19411 Helenbirg Rd Ste 102, Covington, LA 70433-5199 | 2016-03-08 |
| 1730557471 | Jena Parker | Counselor | 71476 White Chapel Rd, Covington, LA 70433-6912 | 2015-09-11 |
| 1912375643 | Linsay Cefalu | Counselor | 71338 Highway 21 Ste 101, Covington, LA 70433-7162 | 2015-09-11 |
| 1700221546 | Carolina Figueroa Morris | Counselor | 200 S Tyler St Ste 208-a, Covington, LA 70433-3036 | 2013-05-07 |
| 1518230804 | Danielle Wood Mistretta | Counselor | 1505 N Florida St, Covington, LA 70433-1544 | 2012-02-16 |
| Find all providers in COVINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.