Active NPI
Nicole Farris, MS/EDS, LCPC, NCC
- Mental Health Counselor
- Gaithersburg, MD
National Provider Identifier
1023246766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC3320
- Practice address
- 18221-D Flower Hill Way
Gaithersburg, MD 20879-5333 - Phone
- (301) 219-8559
- NPI assigned
- Jul 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC3320 | MD | Primary |
Addresses
Primary practice location
18221-D Flower Hill Way
Gaithersburg, MD 20879-5333
Mailing address
12301 Silvergate Way # 906E
Germantown, MD 20874-2548
Phone (301) 219-8559
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3320 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265587200000",
"number": "1023246766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12301 SILVERGATE WAY # 906E",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742548",
"telephone_number": "301-219-8559",
"fax_number": "301-731-2082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18221-D FLOWER HILL WAY",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208795333",
"telephone_number": "301-219-8559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRIS",
"first_name": "NICOLE",
"credential": "MS/EDS, LCPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2010-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC3320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.