Active NPI
Nikunj N Patel, LPCC-S
- Professional Counselor
- Niles, OH
National Provider Identifier
1164836623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1400016-SUPV
- Practice address
- 165 E Park Ave
Niles, OH 44446-2352 - Phone
- (330) 544-8005
- NPI assigned
- Jun 12, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.1400016-SUPV | OH | Primary |
Addresses
Primary practice location
165 E Park Ave
Niles, OH 44446-2352
Mailing address
527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0070
Other practice location 1
527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 270-5324
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1164836623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 N MERIDIAN RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445091227",
"telephone_number": "330-797-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 E PARK AVE",
"city": "NILES",
"state": "OH",
"postal_code": "444462352",
"telephone_number": "330-544-8005"
}
],
"practiceLocations": [
{
"address_1": "527 N Meridian Rd",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445091227",
"country_code": "US",
"telephone_number": "330-270-5324",
"fax_number": "330-797-9148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "NIKUNJ",
"middle_name": "N",
"credential": "LPCC-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-12",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1400016-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niles, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.