NPIMap

Organization Active NPI

Amanda Nicely

  • Mental Health Counselor
  • Middleboro, MA
National Provider Identifier
1104209204
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8586 Issued in MA
Legal business name
AMANDA NICELY
Practice address
205 W Grove St
Suite E
Middleboro, MA 02346-1462
Phone
(508) 923-1900
Fax
(508) 923-1991
NPI assigned
Jul 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Amanda Nicely Machado, LMHC
Title
Ceo/President
Phone
(508) 923-1900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 8586 MA Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 8644 MA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 115553 MA

Addresses

Primary practice location

205 W Grove St
Suite E
Middleboro, MA 02346-1462

Mailing address

205 W Grove St
Suite E
Middleboro, MA 02346-1462
Phone (508) 923-1900

Other names 1

  • Nicely Counseling Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1104209204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W GROVE ST",
            "address_2": "SUITE E",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461462",
            "telephone_number": "508-923-1900",
            "fax_number": "508-923-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W GROVE ST",
            "address_2": "SUITE E",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461462",
            "telephone_number": "508-923-1900",
            "fax_number": "508-923-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA NICELY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "NICELY MACHADO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "508-923-1900",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8586",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8644",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicely Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.