Felicia Campbell Nickelberry, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC10981 Issued in MD

Practice address

312 Marshall Ave Ste 906
Laurel, MD 20707-4824

Phone

(240) 432-4325

NPI assigned

Nov 11, 2020

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

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.

• Ready for Change Health and Wellness, LLC

  • Community/Behavioral Health Agency
  • Laurel, MD
  • NPI 1164123238
  NPD
• Ready for Change Health and Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laurel, MD
  • NPI 1871387308
  NPD

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1235731563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MARSHALL AVE STE 906",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074824",
            "telephone_number": "240-432-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MARSHALL AVE STE 906",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074824",
            "telephone_number": "240-432-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELBERRY",
        "first_name": "FELICIA",
        "middle_name": "CAMPBELL",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC10981",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC10981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anquetta Ngwenwo
• Anyangwe Ngwi
• Patience Ndenge Ngwogou
• Rashauna Nichols, RN
• Andrew Nicholson, MD
• Carol Ann Nieroda, MD
• Anisha Chakkacheril Ninan, CRNP
• Nissi Homes LLP
• Syntiche Njafat Epse Ndongo
• Sidone Endam Njang

• Professional Counselor in Laurel, MD
• Providers in Laurel, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.