Active NPI
Nichole Katherine Nelson
- Counselor
- Marquette, MI
National Provider Identifier
1235506924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6801098599
- Practice address
- 1009 W Ridge St
Marquette, MI 49855-3997 - Phone
- (906) 228-6545
- Fax
- (906) 228-8236
- NPI assigned
- Aug 28, 2015
- Last updated
- Aug 28, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6801098599 | MI | Primary |
Addresses
Primary practice location
1009 W Ridge St
Marquette, MI 49855-3997
Mailing address
618 Iron St
Ishpeming, MI 49849-1152
Phone (701) 331-9701
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801098599 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Compass and Collaborative Therapy | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Ishpeming, MI
- NPI 1558290858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1235506924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 IRON ST",
"city": "ISHPEMING",
"state": "MI",
"postal_code": "498491152",
"telephone_number": "701-331-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 W RIDGE ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498553997",
"telephone_number": "906-228-6545",
"fax_number": "906-228-8236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "NICHOLE",
"middle_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-28",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6801098599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.