Kelli Pinac Nickel

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

105 N Gordon St Ste 202
Alvin, TX 77511-2373

Phone

(346) 774-1774

NPI assigned

Apr 13, 2017

Last updated

Sep 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SLD Counseling Services, PLLCGroup PAC ID 7214372804, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SLD Counseling Services, PLLC

  dba Shannon L Deitch

  • Professional Counselor
  • Alvin, TX
  • NPI 1568018349
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1144754466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10430 SILL PRAIRIE DR",
            "city": "IOWA COLONY",
            "state": "TX",
            "postal_code": "775831662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N GORDON ST STE 202",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775112373",
            "telephone_number": "346-774-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKEL",
        "first_name": "KELLI",
        "middle_name": "PINAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chau T Nguyen
• Maria P Nguyen, MD
• Tho Kim Nguyen, D.D.S.
• Tran Huyen Khanh Nguyen, FNP
• Nibu Mathew, M.D., P.a.
• Bruce Nieschwitz, ATC, LAT
• Alaine Nix
• Esther Nkwanyuo, PMHNP
• Jacob Northcutt, LAT, ATC
• Philomena Nwajei, LPC

• Counselor in Alvin, TX
• Providers in Alvin, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.