Active NPI
Patricia A Nichols, LCPC
- Mental Health Counselor
- Billings, MT
National Provider Identifier
1063557296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1178 LCPC
- Practice address
- 1643 24TH St W
Suite 108
Billings, MT 59102-2677 - Phone
- (406) 670-3956
- Fax
- (406) 294-0967
- NPI assigned
- Feb 21, 2007
- 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 | 1178 LCPC | MT | Primary |
Addresses
Primary practice location
1643 24TH St W
Suite 108
Billings, MT 59102-2677
Mailing address
1643 24TH St W
Suite 108
Billings, MT 59102-2677
Phone (406) 670-3956
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0256751 | Medicaid | MT | |
| 000742280 | Other | MT | BCBS |
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 |
|---|---|---|---|
| 1178 LCPC | MT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258070400000",
"number": "1063557296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1643 24TH ST W",
"address_2": "SUITE 108",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591022677",
"telephone_number": "406-670-3956",
"fax_number": "406-294-0967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1643 24TH ST W",
"address_2": "SUITE 108",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591022677",
"telephone_number": "406-670-3956",
"fax_number": "406-294-0967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2009-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "1178 LCPC",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0256751",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000742280",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.