Jay B Nickel, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

61764 Issued in TX

Practice address

282 Old Kyle Rd
Wimberley, TX 78676-9701

Phone

(512) 663-5941

Fax

(575) 448-7404

NPI assigned

Sep 16, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Samaritan Center for Counseling and Pastoral Care, Inc.

  • Community/Behavioral Health Agency
  • Austin, TX
  • NPI 1801936133
  Medicare reassignment NPD

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1083863930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8956 RESEARCH BLVD BLDG 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585902",
            "telephone_number": "512-451-7337",
            "fax_number": "512-451-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 OLD KYLE RD",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786769701",
            "telephone_number": "512-663-5941",
            "fax_number": "575-448-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKEL",
        "first_name": "JAY",
        "middle_name": "B",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milton David Morales, M.D.
• Francisco James Morazan, LPC-ASSOCIATE
• Lindsey Moseley
• Stacy Murphy, DPT
• Sarah Myers
• Nova Recovery LLC
• Glenda Nuckols, DDS
• Rebecca Eileen Nycz, FNP
• Cyndi O'Toole, BCBA-D
• Frances M Otto, MS, CCC-SLP,MOT

• Professional Counselor in Wimberley, TX
• Providers in Wimberley, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.