CAROLYN J. NICHOLS (NPI# 1497802995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497802995 |
| Entity Type | Individual |
| Full Name | CAROLYN J. NICHOLS |
| Credential | LPC |
| Practice Address |
1736 E Sunshine St Plaza Towers-suite 508 Springfield MO 65804-1343 |
| Mailing Address |
4715 E Bittersweet Way Springfield MO 65809-2403 |
| Practice Telephone | 4177665432 |
| Mailing Telephone | 4178877803 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 002622 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396031167 | Carolyn A Nichols | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2011-06-21 |
| 1801829791 | Carolyn Moser Nichols | Pediatrics | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2006-07-07 |
| Street Address |
1736 E SUNSHINE ST PLAZA TOWERS-SUITE 508 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184613119 | Karlovich & Associates, Inc. | Case Management | 1736 E Sunshine St, Suite 815, Springfield, MO 65804-1343 | 2005-10-21 |
| 1922500735 | Lillian M Davis | Counselor | 1736 E Sunshine St, Springfield, MO 65804-1343 | 2018-03-07 |
| 1255881801 | Robert Elias Johnson | Counselor | 1736 E Sunshine St, Suite 307, Springfield, MO 65804-1343 | 2016-10-06 |
| 1285026658 | Julia M Nickle Counseling Services LLC | Counselor | 1736 E Sunshine St, Ste 308, Springfield, MO 65804-1343 | 2015-02-23 |
| 1861832206 | Victoria Lynn Karlovich | Case Manager/Care Coordinator | 1736 E Sunshine St, Suite 713, Springfield, MO 65804-1343 | 2013-06-30 |
| 1689978009 | Wendy Jo Ryerson | Counselor | 1736 E Sunshine St, Ste. 719, Springfield, MO 65804-1343 | 2010-12-28 |
| 1578899142 | Insight Counseling Associates, LLC | Community/Behavioral Health | 1736 E Sunshine St, Suite 401, Springfield, MO 65804-1343 | 2009-11-02 |
| 1962635060 | Daniel William Ellis | Counselor | 1736 E Sunshine St, Plaza Towers Suite 811, Springfield, MO 65804-1343 | 2009-08-24 |
| 1487817193 | Lights Prosthetic Eyes Inc | Technician/Technologist | 1736 E Sunshine St, Suite 404, Springfield, MO 65804-1343 | 2008-07-03 |
| 1952433625 | Frank Edward Bartlett | Psychologist | 1736 E Sunshine St, Suite 811, Springfield, MO 65804-1343 | 2007-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| 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 |
|---|---|---|---|---|
| 1427672815 | Jana Lynn Purington | Counselor | 155 Maple St Ste 107, Springfield, MA 01105-1828 | 2020-06-02 |
| 1861015224 | Laurie N Tackett | Counselor | 255 Glenmore Dr, Springfield, OH 45503-3305 | 2020-05-20 |
| 1457993412 | Ardavis & Associates, LLC | Counselor | 2151 W White Oaks Dr Ste D, Springfield, IL 62704-6410 | 2019-10-11 |
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1861057457 | Janer Hernandez | Counselor | 77 Bevier St, Springfield, MA 01107-1316 | 2019-05-08 |
| 1013470608 | Aracelis Ruiz | Counselor | 1108 Carew St, Springfield, MA 01104-2026 | 2019-04-10 |
| 1619432481 | Beth Reilly | Counselor | 57 Duryea St, Springfield, MA 01104-3105 | 2019-02-06 |
| 1023582699 | Barbara Ruth Pascoe | Counselor | 8020 Greeley Blvd, Springfield, VA 22152-3001 | 2019-01-17 |
| 1275000309 | Sara Thompson | Counselor | 2200 E Sunshine St Ste 215, Springfield, MO 65804-1886 | 2018-10-26 |
| 1902305402 | Stan Dwane Buford | Counselor | 3734 South Ave Ste C, Springfield, MO 65807-5291 | 2018-02-09 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on CAROLYN J. 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.