NICOLE CHACIN (NPI# 1679726376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679726376 |
| Entity Type | Individual |
| Full Name | NICOLE CHACIN |
| Credential | LPC |
| Practice Address |
271b S Culver St Lawrenceville GA 30046-4805 |
| Practice Telephone | 6788245899 |
| Mailing Telephone | 6788245899 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 008888 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003178904A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 W Midland Ave, Woodland Park, CO 808633144 | 7196872880 |
| Street Address |
271B S CULVER ST |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-4805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450905 | Aloha Mcgregor | Counselor | 271b S Culver St, Lawrenceville, GA 30046-4805 | 2020-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| 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 |
|---|---|---|---|---|
| 1346864303 | Oluwafunmilayo K Adebayo | Counselor | 1625 Collins Hill Rd, Lawrenceville, GA 30043-3616 | 2020-06-04 |
| 1932721347 | Melissa Ashley Pieller | Counselor | 3100 Princeton Pike Ste I, Lawrenceville, NJ 08648-2300 | 2020-05-08 |
| 1003476532 | Professional Medical Services Inc. | Counselor | 2710 Turning Leaf Dr, Lawrenceville, GA 30044-7437 | 2019-06-17 |
| 1407342991 | Arturo David Ortega | Counselor | 2547 Ashridge Ct, Lawrenceville, GA 30043-2386 | 2018-07-08 |
| 1306290762 | Ronnie Brasfield | Counselor | 11 Lumpkin St, Suite 100, Lawrenceville, GA 30046-8454 | 2016-04-21 |
| 1295008530 | Melody Thompson | Counselor | 771 Summerstone Ln, Lawrenceville, GA 30044-5429 | 2012-02-16 |
| 1508150079 | Cathy Arrington | Counselor | 175 Langley Dr Ste E3, Lawrenceville, GA 30046-6952 | 2011-06-02 |
| 1295031086 | Sonja Richele Newberry | Counselor | 223 Scenic Hwy Ste 101, Lawrenceville, GA 30046-5603 | 2011-01-27 |
| 1649572165 | Brittny C. Lyle | Counselor | 1302 Fountain Lakes Dr, Lawrenceville, GA 30043-4788 | 2010-12-03 |
| 1598943144 | Anne M Roller | Counselor | 195 W Pike St Ste 200b, Lawrenceville, GA 30046-4966 | 2008-02-06 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on NICOLE CHACIN.
| 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.