Christine Ragnauth Nickerson, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

79153 Issued in TX

Practice address

1810 8TH Ave
Fort Worth, TX 76110-1352

Phone

(214) 702-1548

NPI assigned

Oct 14, 2019

Last updated

Jan 22, 2024By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Samskara Counseling, PLLC

  • Mental Health Counselor
  • Arlington, TX
  • NPI 1205740842
  Authorized official Same address or phone

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1225670094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 DARTMOUTH CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153214",
            "telephone_number": "214-693-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101352",
            "telephone_number": "214-702-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKERSON",
        "first_name": "CHRISTINE",
        "middle_name": "RAGNAUTH",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Arlington",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1911 Dartmouth Ct",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760153214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Craig Anthony Nicholson, RPH
• Monique Brown Nicholson, R.PH
• Paulina Nicholson, LPC
• Ramona Nicholson
• Nick Le DDS PLLC
• Jena Suzanne Nickerson, BCBA LBA-TX
• Toyree Nickerson
• Vicki Nicklas, PT
• Alford Frederick Nicol
• Nancy Carolina Nicoloso, NP-C

• Mental Health Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Health Counselor in Texas

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