Individual provider Active NPI

Nicole Witte, LMSW

  • Mental Health Counselor
  • Huntsville, AL
National Provider Identifier
1215795166
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6497G Issued in AL
Practice address
113 Longwood Dr SW Ste C
Huntsville, AL 35801-4511
Phone
(256) 884-9443
NPI assigned
Mar 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6497G AK
Mental Health Counselor 101YM0800X 6497G AL Primary

Addresses

Primary practice location

113 Longwood Dr SW Ste C
Huntsville, AL 35801-4511

Mailing address

113 Longwood Dr SW Ste C
Huntsville, AL 35801-4511
Phone (256) 884-9443

Other names 1

  • Nicole Shaver Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6497GAKMDMental Health Counselor
6497GALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleidoscope Therapy, LLC CurrentSince Mar 12, 2024 Accepting new patients
Allison Broschart Counseling, LLC CurrentSince Jun 8, 2025 Accepting new patients

Locations

113 Longwood Dr SW
Ste C
Huntsville, AL 35801
Phone (256) 384-3400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1215795166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LONGWOOD DR SW STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014511",
            "telephone_number": "256-884-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LONGWOOD DR SW STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014511",
            "telephone_number": "256-884-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTE",
        "first_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "6497G",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "6497G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SHAVER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.