Anne Lindsey Nicklas, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

009794-01 Issued in NY

Practice address

29 Pioneer St
Cooperstown, NY 13326-1050

Phone

(607) 282-6978

Fax

(607) 891-3561

NPI assigned

Mar 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1235631268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 STATE HIGHWAY 166",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133264606",
            "telephone_number": "607-282-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PIONEER ST",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261050",
            "telephone_number": "607-282-6978",
            "fax_number": "607-891-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKLAS",
        "first_name": "ANNE",
        "middle_name": "LINDSEY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "PO9691",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "009794-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Ngo
• Alisha Nguyen, MD
• Tessa Nicholas
• William S Nicholson, P.A.
• Kyle Nick, PA-C
• Northern Catskill Dental Associates
• Northern Catskill Dental PC
• Steve Oguguo Nwokeocha, M.B.B.S.
• Stella Nyamikeh, MBCHB
• Ashley Lynn O'Connor, PTA

• Professional Counselor in Cooperstown, NY
• Providers in Cooperstown, NY by specialty
• Professional Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.