Veda Lamar Nichols, LPC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7094 Issued in SC

Practice address

110 Ye Olde Kings Hwy
North Myrtle Beach, SC 29582-4384

Phone

(843) 663-0770

NPI assigned

Mar 22, 2021

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

Other names 1

• Veda Lamar Garth Nichols Professional name

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.

• Center for Counseling & Wellness

  • Mental Health Counselor
  • North Myrtle Beach, SC
  • NPI 1538439450
  NPD

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1225614035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 CHURCH ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692469",
            "telephone_number": "843-465-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 YE OLDE KINGS HWY",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295824384",
            "telephone_number": "843-663-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 Church St",
            "address_purpose": "LOCATION",
            "city": "Loris",
            "state": "SC",
            "postal_code": "295692469",
            "country_code": "US",
            "telephone_number": "843-465-6158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMAR NICHOLS",
        "first_name": "VEDA",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VEDA",
            "last_name": "NICHOLS",
            "middle_name": "LAMAR GARTH",
            "credential": "LPC-A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Klippert, LMSW
• Roman Koryakin, FNP, APRN
• Tiffany Marie Krause
• Hayley Addison Krueger, DPT
• Kristine Kupcha, MA
• Maggie Reaves Langdale, PHARMD
• Morgan Lee Laprade
• Brian J. Lattimer, DC
• Elizabeth Dawn Lattimer, NP
• Stephanie Lee, COTA

• Mental Health Counselor in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.