Nicole Sue Birkenstock

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

16197 Issued in NC

Practice address

2724 Thurrock Dr
Apex, NC 27539-8657

Phone

(919) 442-7936

NPI assigned

Feb 4, 2021

Last updated

Jun 5, 2023By 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 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Creasman Counseling, PLLC

  • Professional Counselor
  • Raleigh, NC
  • NPI 1790152254
  NPD (past)

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1174115893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 HERBERT AKINS RD",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275268300",
            "telephone_number": "919-442-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 THURROCK DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275398657",
            "telephone_number": "919-442-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKENSTOCK",
        "first_name": "NICOLE",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16197",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anuradha Bhaduri, PSY.D.
• Sarah Elizabeth Creech Bianco, LCSW-A
• Bilingual Therapeutic Resources, Inc
• Karissa L Binkley, LCCE, IBCLC
• Bio-Medical Applications of North Carolina, Inc. (Fresenius Medical Care Apex)
• Black Cat Counseling & Wellness, PLLC
• Black Diamond Chiropractic and Sports Performance, PLLC
• Hannah Brown Black, OTR/L
• Lynn Gantt Blackley, MA CCC SLP
• Samuel Dwight Blackwell, M.D.

• Mental Health Counselor in Apex, NC
• Providers in Apex, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.