Julia M Nickle LMHC, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH8238 Issued in FL

Legal business name

JULIA M NICKLE LMHC, INC

Practice address

3997 Commons Dr W
Ste C
Destin, FL 32541-8443

Phone

(850) 376-5107

NPI assigned

Jan 5, 2012

Organization subpart

No

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

Authorized official

Name

Julia M Nickle, LMHCNPI 1487722740

Title

Owner

Phone

(417) 812-4866

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia Mary Nickle, MS, LPC, LMHC

  • Professional Counselor
  • Springfield, MO
  • NPI 1487722740

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1104196369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11224",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658081224",
            "telephone_number": "417-812-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3997 COMMONS DR W",
            "address_2": "STE C",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418443",
            "telephone_number": "850-376-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA M NICKLE LMHC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "NICKLE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-812-4866",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David P. Johnson, M.D.
• Jamie Smith Johnston, PH.D.
• Sherri Musgrove Johnston, RN
• Rachel Lauren Hidalgo Jozwiak, MM, MT-BC
• Julia Humbarger, LMFT, LLC
• Shaun Kahn, DC
• Michael Kalustian II, D.C
• Kathleen Cazenavette
• Shayna Keen, OTD, OTR/L, CNS
• Henry Paul Kellum, D.D.S.

• All providers in Destin, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.