NICOLE NICHOLS (NPI# 1740721596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740721596 |
| Entity Type | Individual |
| Full Name | NICOLE NICHOLS |
| Practice Address |
209 W Jefferson Ave Bastrop LA 71220-4543 |
| Practice Telephone | 3182393890 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053781062 | Nicole Nichols | Counselor | 34465 Ambrose Hoover Rd, Tickfaw, LA 70466-3917 | 2015-10-02 |
| 1609253715 | Nicole Nichols | Registered Nurse | 1305 N 11th St, Duncan, OK 73533-3705 | 2015-04-28 |
| 1881901684 | Nicole Arielle Nichols | Speech-Language Pathologist | 444 Community Drive Medical Center, Suite 309, Manhasset, NY 11030 | 2010-09-01 |
| 1336301704 | Nicole Nichols | Specialist | 1338 S Extension Road, Topinabee, MI 49791 | 2008-06-27 |
| 1902381346 | Nicole Nichols | Counselor | 607 Buchanan St, Carthage, IL 62321-1401 | 2018-10-02 |
| 1467971424 | Nicole Amber Nichols | Behavior Technician | 2701 University Square Dr, Tampa, FL 33612-5513 | 2017-09-11 |
| 1568913648 | Nicole Nichols | Speech-Language Pathologist | 416 E 30th St, Baltimore, MD 21218-3934 | 2016-10-24 |
| 1013366384 | Nicole Nichols | Speech-Language Pathologist | 2927 S Fish Hatchery Rd, Fitchburg, WI 53711-6498 | 2016-06-08 |
| 1962836551 | Nicole K Nichols | Registered Nurse | 10012 Kennerly Rd, Suite 101, Saint Louis, MO 63128-2197 | 2013-08-30 |
| 1548564883 | Nicole Latrece Nichols | Counselor | 945 Grand St, Starke, FL 32091-1821 | 2010-12-30 |
| Street Address |
209 W JEFFERSON AVE |
| City | BASTROP |
| State | LA |
| Zip Code | 71220-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720351109 | Tyesha Turner | Counselor | 209 W Jefferson Ave, 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2012-02-16 |
| 1427696558 | Katina Renea Washington | Case Manager/Care Coordinator | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2019-12-19 |
| 1063075273 | Shelia Edwards | Case Manager/Care Coordinator | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2019-04-15 |
| 1629533542 | Tikela Nawana Mansfield | Case Manager/Care Coordinator | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2019-02-05 |
| 1154897007 | Shelia Brown Washington | Case Manager/Care Coordinator | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2018-10-18 |
| 1164920575 | Jeffery Turner | Counselor | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2018-01-31 |
| 1609381037 | Alisha Love | Counselor | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2017-12-07 |
| 1457865743 | Jada Matlock | Counselor | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2017-11-22 |
| 1396255923 | Ijnanya Davis | Counselor | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2017-10-10 |
| 1477072650 | Ed Lamar Anderson | Counselor | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2017-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1275002685 | Hulin Urgent Care Services, LLC | Clinic/Center | 2100 East Madison Avenue, Bastrop, LA 71220 | 2018-11-14 |
| 1023594975 | Shuntel Ramona Johnson | Counselor | 8891 Holley Farm Road, Bastrop, LA 71220 | 2018-07-13 |
| 1376050526 | Kevin Hubbard | Case Manager/Care Coordinator | 9409 Willow Dr, Bastrop, LA 71220 | 2018-01-09 |
| 1265957229 | Alma Holmes | Behavioral Analyst | 644 E. Jefferson Ave, Bastrop, LA 71220 | 2017-08-10 |
| 1427570886 | Jennifer Rochelle Glosson | Counselor | 410 S. Franklin St, Bastrop, LA 71220 | 2017-07-07 |
| 1386179307 | Total Divine Care LLC | Community/Behavioral Health | 1840 North Washington Street, Bastrop, LA 71220 | 2017-04-27 |
| 1538609524 | Tyrra Watkins | Counselor | 10599 Parkwood Dr, Bastrop, LA 71220 | 2017-02-24 |
| 1528502119 | Oatie Brooks | Counselor | 813 Mccreight Street, Bastrop, LA 71220 | 2016-12-15 |
| 1487197810 | Valencia Reese | Counselor | 10434 Boswell St, Bastrop, LA 71220 | 2016-12-03 |
| Find all providers in zip 71220 | ||||
| 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 |
|---|---|---|---|---|
| 1538609524 | Tyrra Watkins | Counselor | 10599 Parkwood Dr, Bastrop, LA 71220 | 2017-02-24 |
| 1053853119 | Alandrius Lambert | Counselor | 713 Elm St, Bastrop, LA 71220-5168 | 2016-11-07 |
| 1801284336 | Larry D Prater | Counselor | 675 E Madison Ave, Suite A, Bastrop, LA 71220-3833 | 2015-01-06 |
| 1720351109 | Tyesha Turner | Counselor | 209 W Jefferson Ave, 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2012-02-16 |
| 1194965202 | Stephanie Fletcher | Counselor | 313 Patton Lane, 313 Patton Lane, Bastrop, TX 78602 | 2009-03-02 |
| 1497783476 | Mark Ellen Bowles | Counselor | 150 Settlement Dr Ste E, Bastrop, TX 78602 | 2006-06-29 |
| 1073011276 | Monique Kyles | Counselor | 644 E Jefferson Ave, Bastrop, LA 71220-4619 | 2018-01-23 |
| 1649783812 | Ivory Tubbs | Counselor | 644 E Jefferson Ave, Bastrop, LA 71220-4619 | 2017-11-09 |
| 1588175319 | Donald Broussard | Counselor | 644 E Jefferson Ave, Bastrop, LA 71220-4619 | 2017-10-19 |
| 1922525823 | Arnor Gregory Ford | Counselor | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2017-08-23 |
| Find all providers in BASTROP | ||||
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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.