Individual provider Active NPI

Secily Linker Nichols, LCMHC

  • Mental Health Counselor
  • Concord, NC
National Provider Identifier
1083390868
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18899 Issued in NC
Practice address
363 Church St N Ste 245
Concord, NC 28025-4525
Phone
(704) 317-6110
NPI assigned
Jun 26, 2023
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18899 NC Primary

Addresses

Primary practice location

363 Church St N Ste 245
Concord, NC 28025-4525

Mailing address

8825 County Line Rd
Mount Pleasant, NC 28124-8896
Phone (704) 796-7167

Other practice location 1

2620 W Main St.
Albemarle, NC 28001
Phone (980) 581-8144

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

LicenseStateTypeSpecialty
18899NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Counseling and Learning Solutions, PLLC Mental Health CurrentSince Jul 2, 2023 Accepting new patients

Locations

2620 W Main St
Albemarle, NC 28001
Phone (980) 581-8144

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1083390868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 COUNTY LINE RD",
            "city": "MOUNT PLEASANT",
            "state": "NC",
            "postal_code": "281248896",
            "telephone_number": "704-796-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 CHURCH ST N STE 245",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254525",
            "telephone_number": "704-317-6110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 W Main St.",
            "address_purpose": "LOCATION",
            "city": "Albemarle",
            "state": "NC",
            "postal_code": "28001",
            "country_code": "US",
            "telephone_number": "980-581-8144",
            "fax_number": "980-581-8148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "SECILY",
        "middle_name": "LINKER",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "18899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.