Elizabeth Isham Nichols, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC2730 Issued in MD

Practice address

105 Tuscany Rd # 109
Baltimore, MD 21210-3098

Phone

(443) 465-4794

NPI assigned

Oct 11, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Beth Nichols Counseling, LLC

  • Community/Behavioral Health Agency
  • Towson, MD
  • NPI 1841834777
  NPD Authorized official

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1184266173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 CHARLES RIDGE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212043608",
            "telephone_number": "443-465-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TUSCANY RD # 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212103098",
            "telephone_number": "443-465-4794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1122 Kenilworth Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212042141",
            "country_code": "US",
            "telephone_number": "443-465-4794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "ELIZABETH",
        "middle_name": "ISHAM",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC2730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Cannada Nicholas, M.D.
• Melissa Nicholas, MD
• Allison Knee Nichols, CCC-SLP
• Courtney Dawn Nichols, SC.M.
• David Gregory Nichols, M.D.
• Faye Nichols
• Genevieve S Nichols
• Gracie Nichols
• Mailyn Nichols
• Nakeda Nichols

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.