James Nickelsen, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

03434-T Issued in KS

Practice address

205 S 5TH St Unit 13
Leavenworth, KS 66048-2602

Phone

(913) 271-7099

NPI assigned

Sep 19, 2023

Sex

Male

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

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1184402463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S ESPLANADE ST APT F404",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481522",
            "telephone_number": "913-915-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S 5TH ST UNIT 13",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660482602",
            "telephone_number": "913-271-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELSEN",
        "first_name": "JAMES",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03434-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huong DO-Thuy Nguyen, RPH
• Abigail Nichols
• Danielle K Nichols, LMSW
• Olivia Ann Nichols, RDN
• Ramon L Nichols, M.D.
• Steven Wright Nimrod, LCPC
• Susan Diane Nimrod, LCPC
• Ashley Noah, PA-C
• Darcy Noe
• Carl Tyler Noll, DPT

• Marriage & Family Therapist in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.