Individual provider Active NPI

Nichole Dianne O'Keefe, LPC

  • Professional Counselor
  • Flushing, MI
National Provider Identifier
1114559093
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401019477 Issued in MI
Practice address
117 S Cherry St
Flushing, MI 48433-2018
Phone
(810) 373-5133
NPI assigned
Feb 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401019477 MI Primary

Addresses

Primary practice location

117 S Cherry St
Flushing, MI 48433-2018

Mailing address

117 S Cherry St
Flushing, MI 48433-2018
Phone (810) 373-5133

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
6401019477MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Counseling, PLLC Counselor CurrentSince Jul 1, 2021 Accepting new patients
Nicole Sobh Therapy LLC Professional Past Accepting new patients

Locations

117 S Cherry St
Flushing, MI 48433
Phone (810) 373-5133

215 N Water St
Ste 138
Owosso, MI 48867
Phone (810) 230-4224

6199 Miller Rd
Ste A
Swartz Creek, MI 48473
Phone (810) 207-5759

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1114559093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S CHERRY ST",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332018",
            "telephone_number": "810-373-5133",
            "fax_number": "810-202-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S CHERRY ST",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332018",
            "telephone_number": "810-373-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KEEFE",
        "first_name": "NICHOLE",
        "middle_name": "DIANNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.