MR. MARK NICHOLS (NPI# 1275879785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275879785 |
| Entity Type | Individual |
| Full Name | MR. MARK NICHOLS |
| Credential | M.A., LPC |
| Practice Address |
727 J Clyde Morris Blvd Ste A Newport News VA 23601-1507 |
| Practice Telephone | 7575953455 |
| Practice Fax Number | 7575953456 |
| Mailing Telephone | 7575953455 |
| Mailing Fax Number | 7575953456 |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2018-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0701006460 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | LPC LICENSE # | 0701006460 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427512110 | Mark Nichols | Respiratory Therapist, Registered | 1831 Avondale Ave, Sacramento, CA 95825-1385 | 2019-01-26 |
| 1003950437 | Mark Alan Nichols | Counselor | 4732 N. Oracle Rd, Suite 312, Tucson, AZ 85705 | 2007-02-18 |
| 1659317352 | Mark Roberts Nichols | Dentist | 3651 Highway 59 N, Grove, OK 74344-3705 | 2006-06-21 |
| 1346298098 | Mark A Nichols | Internal Medicine | 1500 N Wilmot, Rincon Internal Medicine Suite B250, Tucson, AZ 85712 | 2006-05-05 |
| 1902892946 | Mark Lovel Nichols | Internal Medicine | 250 Hospice Cir, Raleigh, NC 27607-6372 | 2005-09-26 |
| 1407997547 | Mark Edward Nichols | Physical Therapist | 2900 1st Ave, Huntington, WV 25702-1241 | 2007-02-10 |
| 1922196575 | Mark O Nichols | Surgery | 2600 Wilson St, Miles City, MT 59301-5094 | 2006-10-10 |
| 1265440739 | Mark David Nichols | Obstetrics & Gynecology | 3181 Sw Sam Jackson Park Rd, Uhn-50, Portland, OR 97239-3011 | 2006-08-03 |
| 1295757102 | Mark Alan Nichols | Dentist | 450 39th St, Ogden, UT 84403-1838 | 2006-07-24 |
| 1033149893 | Mark G Nichols | Dentist | 225 Walker Rd, Chambersburg, PA 17201-9798 | 2006-07-04 |
| Street Address |
727 J CLYDE MORRIS BLVD STE A |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23601-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578014395 | Black Pine Counseling Center | Counselor | 727 J Clyde Morris Blvd Ste A, Newport News, VA 23601 | 2016-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809235 | Joshua Alan Albert | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Center 10510 Jefferson Ave, Suite A, Newport News, VA 23601 | 2020-04-14 |
| 1053959957 | Sisters In Homecare LLC | Home Health | 716 J Clyde Morris Blvd, Newport News, VA 23601 | 2019-12-11 |
| 1811450638 | Kevin Lavender | Student in an Organized Health Care Education/Training Program | Riverside Brentwood Medical Center, 10510 Jefferson Avenue Suite A, Newport News, VA 23601 | 2019-04-09 |
| 1578025532 | Cortlandt Mercy Sellers | Student in an Organized Health Care Education/Training Program | Riverside Regional Medical Center, 500 J Clyde Morris Blvd, 2 Annex, Newport News, VA 23601 | 2019-04-01 |
| 1407352974 | Stephen Leinfelder | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Dept. of Medical Education, Second Floor Annex, Newport News, VA 23601 | 2018-04-03 |
| 1104359132 | Nicholas Alexander Austin | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Second Floor Annex, Riverside Transitional Internship Program, Newport News, VA 23601 | 2017-04-06 |
| 1609312883 | Bright Nii Lante Lamptey | Pharmacist | 600 J Clyde and Morris Blvd, Newport News, VA 23601 | 2017-01-12 |
| 1417490517 | Justin Chamblee | Pharmacist | 671 J. Clyde Morris Blvd, Newport News, VA 23601 | 2016-11-22 |
| 1447706080 | Megan Elizabeth Cobb | Physician Assistant | 500 J Clyde Morrisl Blvd, Suite 603, Newport News, VA 23601 | 2016-09-01 |
| 1669815957 | Christina Michelle Wray Mcmillan | Nurse Practitioner | 416 J. Clyde Morris Blvd., Newport News, VA 23601 | 2013-04-17 |
| Find all providers in zip 23601 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198160 | Greater Impact Counseling Services | Counselor | 312 North Ave, Newport News, VA 23601-4515 | 2020-09-11 |
| 1497369292 | Christina Triantafillou, Lpc, LLC | Counselor | 336 Saint Thomas Dr Apt H, Newport News, VA 23606-4307 | 2020-08-31 |
| 1376157198 | Jaimie Kristen Thomas | Counselor | 751 Thimble Shoals Blvd Ste K, Newport News, VA 23606-3563 | 2020-08-31 |
| 1437768330 | Minal Alfaruqi | Counselor | 1041 23rd St, Newport News, VA 23607-4703 | 2020-07-27 |
| 1427666106 | Legacy Counseling Services LLC | Counselor | 622 Windbrook Cir, Newport News, VA 23602-8847 | 2020-07-17 |
| 1801413612 | Elexud S Blair | Counselor | 323 Peach Tree Cres, Newport News, VA 23602-7494 | 2020-06-26 |
| 1538789425 | Aishah Naomi Khursheed | Counselor | 727 J Clyde Blvd, Ste A, Newport News, VA 23602 | 2020-04-21 |
| 1841839008 | C&s Holistic Counseling and Consulting, LLC | Counselor | 603 J Clyde Morris Blvd Ste 3, Newport News, VA 23601-1826 | 2020-01-04 |
| 1194382333 | Cynthia Gale Murchison-grice | Counselor | 14203 Old Courthouse Way Ste C, Newport News, VA 23602-3749 | 2019-05-23 |
| 1811459860 | Lisa Diane Wright | Counselor | 867 Miller Creek Ln, Newport News, VA 23602-9460 | 2019-04-01 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23601 |
Please comment or provide details below to improve the information on MR. MARK NICHOLS.
| 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.