Active NPI
Nicole Kuykendall
- Mental Health Counselor
- Lusby, MD
National Provider Identifier
1063898112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60901009
- Practice address
- 11306 HG Trueman Rd
Lusby, MD 20657-2849 - Phone
- (410) 533-9118
- NPI assigned
- Jul 30, 2015
- Last updated
- Jun 24, 2026
- Sex
- Female
- Sole proprietor
- No
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 | LH60901009 | WA | Primary |
Addresses
Primary practice location
11306 HG Trueman Rd
Lusby, MD 20657-2849
Mailing address
11306 HG Trueman Rd
Lusby, MD 20657-2849
Phone (410) 533-9118
Other practice location 1
614 Peterson Rd
Burlington, WA 98233-2606
Phone (360) 856-3054
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 |
|---|---|---|---|
| LH60901009 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hearts Family Counseling, PLLC | Mental Health | Current | Accepting new patients |
| Healing Hearts Family Counseling, LLC | Mental Health | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Lusby, MD
- NPI 1942130240
-
- Mental Health Counselor
- Oak Harbor, WA
- NPI 1184259087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1063898112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11306 HG TRUEMAN RD",
"city": "LUSBY",
"state": "MD",
"postal_code": "206572849",
"telephone_number": "410-533-9118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11306 HG TRUEMAN RD",
"city": "LUSBY",
"state": "MD",
"postal_code": "206572849",
"telephone_number": "410-533-9118"
}
],
"practiceLocations": [
{
"address_1": "614 Peterson Rd",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "WA",
"postal_code": "982332606",
"country_code": "US",
"telephone_number": "360-856-3054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUYKENDALL",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60901009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lusby, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.