MR. BRENT H NICHOLS (NPI# 1861610594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861610594 |
| Entity Type | Individual |
| Full Name | MR. BRENT H NICHOLS |
| Credential | LPC |
| Practice Address |
1421 Lee St Brunswick GA 31520-7132 |
| Practice Telephone | 9122626080 |
| Practice Fax Number | 9122610593 |
| Mailing Telephone | 9122626080 |
| Mailing Fax Number | 9122610593 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 1673 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548485584 | Brent Owen Nichols | Dentist | 305 Orange Ave Ste A, Huntington Beach, CA 92648-8128 | 2007-04-16 |
| 1275858714 | Brent G Nichols | Otolaryngology | 801 Broadway N, Fargo, ND 58102-3641 | 2010-03-27 |
| 1508072562 | Brent Nichols | Social Worker | 26 W 9th St, #1g, New York, NY 10011-8971 | 2007-05-15 |
| Street Address |
1421 LEE ST |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-7132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457321457 | Thomas Kidder | Counselor | 1421 Lee St, Brunswick, GA 31520-7132 | 2006-01-24 |
| 1417195546 | Virginia Elizabeth Holm | Social Worker | 1421 Lee St, Brunswick, GA 31520-7132 | 2009-01-27 |
| 1407019771 | William R. Johnson, Ph.d., PC | Psychologist | 1421 Lee St, Brunswick, GA 31520-7132 | 2008-07-08 |
| 1568625747 | Diana L. Walther, Ph.d. PC | Psychologist | 1421 Lee St, Brunswick, GA 31520-7132 | 2008-07-08 |
| 1770753089 | Andrew J Hurayt | Psychiatry & Neurology | 1421 Lee St, Brunswick, GA 31520-7132 | 2008-03-04 |
| 1952528663 | Mary A Whitney | Counselor | 1421 Lee St, Brunswick, GA 31520-7132 | 2007-04-20 |
| 1326162827 | Golden Isles Psychiatric Associates, P.C. | Psychiatry & Neurology | 1421 Lee St, Brunswick, GA 31520-7132 | 2007-03-19 |
| 1346364239 | Janet Ann Mohr | Psychiatry & Neurology | 1421 Lee St, Brunswick, GA 31520-7132 | 2007-03-18 |
| 1902920895 | Timothy Lyn Hunsucker | Psychiatry & Neurology | 1421 Lee St, Brunswick, GA 31520-7132 | 2007-03-18 |
| 1346317146 | Andrew J Hurayt Md PC | Psychiatry & Neurology | 1421 Lee St, Brunswick, GA 31520-7132 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| 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 |
|---|---|---|---|---|
| 1255895298 | Ujima Counseling, Consulting and Coaching LLC | Counselor | 110 Lantana Ct, Brunswick, GA 31520-2211 | 2019-01-23 |
| 1407231699 | A Royal Fresh Start & Associates Inc. | Counselor | 5420 New Jesup Hwy # 187, Brunswick, GA 31523-1137 | 2015-07-29 |
| 1154649713 | Donna Lynn Bann | Counselor | 9 Hovey Ln, Brunswick, ME 04011-7840 | 2010-05-06 |
| 1033327135 | Heinrich Peter Tesch Von Cultz II | Counselor | 1638 Norwich Street, Brunswick, GA 31520 | 2007-05-20 |
| 1386158558 | Rosalie Genova | Counselor | 66 Baribeau Dr, Brunswick, ME 04011 | 2017-11-27 |
| 1114475639 | Jane Briggs | Counselor | 153 Park Row, Brunswick, ME 04011-2053 | 2016-09-13 |
| 1518245398 | Michael W Arthur | Counselor | 14 Maine St, Brunswick, ME 04011-2049 | 2011-07-28 |
| 1538495874 | Jamie Wade | Counselor | 14 Maine St, Suite 202, Brunswick, ME 04011-2049 | 2009-10-21 |
| 1174858179 | Dawn Herrick | Counselor | 14 Maine St, Suite 202, Brunswick, ME 04011-2049 | 2009-10-08 |
| 1497080428 | Tamzyn Palmer | Counselor | 14 Maine St, Suite 202, Brunswick, ME 04011-2049 | 2009-10-08 |
| Find all providers in BRUNSWICK | ||||
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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.