Nickles Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2843-123 Issued in WI

Legal business name

NICKLES COUNSELING, LLC

Practice address

401 Wisconsin Ave
Madison, WI 53703-1487

Phone

(608) 256-5115

Fax

(608) 256-5116

NPI assigned

Aug 2, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Carol Veneta Nickles, LCSW

Title

Psychotherapist

Phone

(608) 256-5115

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1144708942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WISCONSIN AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537031487",
            "telephone_number": "608-256-5115",
            "fax_number": "608-256-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WISCONSIN AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537031487",
            "telephone_number": "608-256-5115",
            "fax_number": "608-256-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKLES COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "NICKLES",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "VENETA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "608-256-5115",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2843-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780138776",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Christopher Nickel, MD
• Brian Thomas Nickel, M.D.
• Clara Nickel
• Ellen Puskala Nickel, APRN
• Juanita Nickelson
• Carol Nickles, LCSW
• Peter J Nicksic, MD
• Victoria Brocksmith Nicksic, MD
• Elsa Nico, MD
• Nancy Nicolai, DPT

• Clinical Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.