Active NPI
Julie M Nise, MA, LPC, LMFT
- Mental Health Counselor
- Friendswood, TX
National Provider Identifier
1063684645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 18894
- Practice address
- 106 Pecan Dr
Friendswood, TX 77546-3828 - Phone
- (281) 996-6888
- Fax
- (281) 996-6889
- NPI assigned
- Mar 24, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 18894 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 5025 | TX |
Addresses
Primary practice location
106 Pecan Dr
Friendswood, TX 77546-3828
Mailing address
106 Pecan Dr
Friendswood, TX 77546-3828
Phone (281) 996-6888
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5025 | TX | MD | Marriage & Family Therapist |
| 18894 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206316800000",
"number": "1063684645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 PECAN DR",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775463828",
"telephone_number": "281-996-6888",
"fax_number": "281-996-6889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 PECAN DR",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775463828",
"telephone_number": "281-996-6888",
"fax_number": "281-996-6889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISE",
"first_name": "JULIE",
"middle_name": "M",
"credential": "MA, LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-24",
"last_updated": "2008-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "18894",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "5025",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Friendswood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.