Individual provider Active NPI

Nicole Ashley Caldwell, L.P.C.

  • Professional Counselor
  • Cassville, WI
National Provider Identifier
1013607712
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401226030 Issued in MI
Practice address
212 W Amelia St
Cassville, WI 53806-9774
Phone
(872) 400-1106
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC61482224 WA
Professional Counselor 101YP2500X CTB-2026-029 NM
Professional Counselor 101YP2500X 6401226030 MI Primary

Addresses

Primary practice location

212 W Amelia St
Cassville, WI 53806-9774

Mailing address

212 W Amelia St
Cassville, WI 53806-9774
Phone (872) 400-1106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260331001627 MI Practitioner - Mental Health Counselor 5890270573 Reassigns benefits to 1 organization
I20260415000940 WI Practitioner - Mental Health Counselor 5890270573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC61482224WAMDMental Health Counselor
6401226030MIMDProfessional Counselor
CTB-2026-029NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aligned Mind Therapy LLC Professional Current Accepting new patients
Aligned Mind Therapy LLC Professional Current Accepting new patients
Real Life Counseling PLLC CurrentSince Jun 29, 2025 Accepting new patients

Locations

1498 SE Tech Center Pl
Ste 300
Vancouver, WA 98683
Phone (360) 567-2200

Networks

  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • IL HMO C-SNP

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1013607712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W AMELIA ST",
            "city": "CASSVILLE",
            "state": "WI",
            "postal_code": "538069774",
            "telephone_number": "872-400-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W AMELIA ST",
            "city": "CASSVILLE",
            "state": "WI",
            "postal_code": "538069774",
            "telephone_number": "872-400-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "NICOLE",
        "middle_name": "ASHLEY",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61482224",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2026-029",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401226030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cassville, WI

Sources for this page

Verify at the official NPI Registry.