Nicholas Dudley Bell, M.DIV., M.S., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.000677 Issued in IL

Practice address

3293 N Meridian Rd
Stillman Valley, IL 61084-9754

Phone

(815) 645-2438

NPI assigned

Sep 13, 2011

Last updated

May 17, 2012By the provider in NPPES

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1225310535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3293 N MERIDIAN RD",
            "city": "STILLMAN VALLEY",
            "state": "IL",
            "postal_code": "610849754",
            "telephone_number": "815-645-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3293 N MERIDIAN RD",
            "city": "STILLMAN VALLEY",
            "state": "IL",
            "postal_code": "610849754",
            "telephone_number": "815-645-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "NICHOLAS",
        "middle_name": "DUDLEY",
        "name_prefix": "Mr.",
        "credential": "M.DIV., M.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Stillman Valley, IL
• Providers in Stillman Valley, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.