Active NPI
Nicole M Palmer, MA, TLPC
- Professional Counselor
- Olathe, KS
National Provider Identifier
1205353208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3103
- Practice address
- 14201 S Mur Len Rd Ste 101
Olathe, KS 66062-1859 - Phone
- (913) 209-1845
- Fax
- (913) 273-0084
- NPI assigned
- Aug 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 3103 | KS | Primary |
Addresses
Primary practice location
14201 S Mur Len Rd Ste 101
Olathe, KS 66062-1859
Mailing address
11770 S Shannan St Apt 313
Olathe, KS 66062-3693
Phone (913) 209-1845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3103 | KS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503964800000",
"number": "1205353208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11770 S SHANNAN ST APT 313",
"city": "OLATHE",
"state": "KS",
"postal_code": "660623693",
"telephone_number": "913-209-1845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14201 S MUR LEN RD STE 101",
"city": "OLATHE",
"state": "KS",
"postal_code": "660621859",
"telephone_number": "913-209-1845",
"fax_number": "913-273-0084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "NICOLE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MA, TLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-29",
"last_updated": "2017-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "3103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.