Active NPI
Shirley Nicholson, LPC
- Professional Counselor
- Hendersonville, NC
National Provider Identifier
1003868563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4449
- Practice address
- 110 Williams St
Hendersonville, NC 28792-4543 - Phone
- (828) 692-7300
- Fax
- (828) 692-7710
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4449 | NC | Primary |
Addresses
Primary practice location
110 Williams St
Hendersonville, NC 28792-4543
Mailing address
PO Box 2649
Hendersonville, NC 28793-2649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6108396 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4449 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1003868563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2649",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287932649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 WILLIAMS ST",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287924543",
"telephone_number": "828-692-7300",
"fax_number": "828-692-7710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "SHIRLEY",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6108396",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.