Nora Revell Mickowski, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

67310 Issued in TX

Practice address

10502 Walnut Bend Dr
Austin, TX 78753-4032

Phone

(603) 547-5173

NPI assigned

Jun 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nora Revell McCulla Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 22, 2025 through Jun 22, 2027

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.

• The Mental Health Center of Greater Manchester

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, NH
  • NPI 1609848811
  NPD (past)

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1154760858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10502 WALNUT BEND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787534032",
            "telephone_number": "603-547-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10502 WALNUT BEND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787534032",
            "telephone_number": "603-547-5173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1228 Elm St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031011349",
            "country_code": "US",
            "telephone_number": "603-668-4111",
            "fax_number": "603-628-7757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICKOWSKI",
        "first_name": "NORA",
        "middle_name": "REVELL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "67310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORA",
            "last_name": "MCCULLA",
            "middle_name": "REVELL",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica L Michinock, CRNA
• Allison D Micho
• Kristen St Clair Miciotto, LPC
• Serena Mickelson, M.S., CCC-SLP
• Lewis Mickley III
• Miclinic PLLC
• Jennifer L Micyk, MS, CCC/SLP
• Mid-Atlantic Mobile Lithotripsy LLC
• Mid-Cities Home Medical Equipment Co. Inc.
• Carolyn Faye Midboe, LCSW

• Mental Health Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.