Nicole Bashan Lewis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

390041014A Issued in IN

Practice address

221 3Rd St W BLDG 1040
Universal City, TX 78150-4800

Phone

(210) 652-3505

NPI assigned

May 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, IN2 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Center for Life Enrichment, Advancement, and Recovery, LLC

  • Mental Health Counselor
  • Valparaiso, IN
  • NPI 1548856842

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1053847251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 WILDCAT RUN",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083495",
            "telephone_number": "219-789-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 3RD ST W BLDG 1040",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781504800",
            "telephone_number": "210-652-3505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5241 Fountain Dr",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463075323",
            "country_code": "US",
            "telephone_number": "219-789-3423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 Wildcat Run",
            "address_purpose": "LOCATION",
            "city": "Cibolo",
            "state": "TX",
            "postal_code": "781083495",
            "country_code": "US",
            "telephone_number": "219-789-3423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 Alta Dr",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463858562",
            "country_code": "US",
            "telephone_number": "219-789-3423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "NICOLE",
        "middle_name": "BASHAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-08",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180014935",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "390041014A",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "93611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Leona Lane
• Gregory Paul Larsen, DPM
• Patricia Leaver, PHD
• Alec Ledesma
• Leveled Up Therapy LLC
• Jessica Lloy-Hazlett
• Steven A Logsdon, PH.D
• Lone Star Sleep Solutions PLLC
• Yanneth Guadalupe Longoria, WHNP
• Candance Lopez, RBT

• Mental Health Counselor in Universal City, TX
• Providers in Universal City, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.