Theron Robert Nicholson, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CTB-2025-0065 Issued in NM

Practice address

211 N Water St
Las Cruces, NM 88001-1219

Phone

(505) 295-4182

Fax

(575) 520-2824

NPI assigned

Sep 29, 2015

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Amanecer Community Counseling Center

  • Community/Behavioral Health Agency
  • Santa Teresa, NM
  • NPI 1033663984
  NPD (past)

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1124498423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 MCNUTT RD",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880088937",
            "telephone_number": "575-882-5100",
            "fax_number": "575-882-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N WATER ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011219",
            "telephone_number": "505-295-4182",
            "fax_number": "575-520-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "THERON",
        "middle_name": "ROBERT",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-29",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2025-0065",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nezzy Care of Las Cruces
• Chau Nguyen Gonzalez, DO
• Lato T Nguyen
• Richard Nicastro, PH.D.
• Sally A. Nichols
• Nick Barneclo,LLC
• Cecilia Nickel, APRN
• Megan Niday
• Alexander Niels
• Cindy L. Nielsen, LPCC, LIC, PROF CMHC

• Mental Health Counselor in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.