Active NPI
Mary Trotty Nickson, PH.D.
- Professional Counselor
- Allen, TX
National Provider Identifier
1245459189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11170
- Practice address
- 100 Allentown Pkwy
#114
Allen, TX 75002-4200 - Phone
- (972) 747-0059
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11170 | TX | Primary |
| Counseling Psychologist | 103TC1900X | 25148 | TX | |
| School Psychologist | 103TS0200X | 30454 | TX |
Addresses
Primary practice location
100 Allentown Pkwy
#114
Allen, TX 75002-4200
Mailing address
807 Ridgemont Dr
Allen, TX 75002-5075
Phone (972) 396-1970
Other names 1
- Miss Mary Elizabeth Trotty
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11170 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 25148 | TX | MD | Counseling Psychologist |
| 30454 | TX | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1245459189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 RIDGEMONT DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750025075",
"telephone_number": "972-396-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ALLENTOWN PKWY",
"address_2": "#114",
"city": "ALLEN",
"state": "TX",
"postal_code": "750024200",
"telephone_number": "972-747-0059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKSON",
"first_name": "MARY",
"middle_name": "TROTTY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "11170",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "25148",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "30454",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "TROTTY",
"middle_name": "ELIZABETH",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.