Susy Rodarte Nichols, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

19988 Issued in TX

Practice address

2701 E Yandell Dr
El Paso, TX 79903-3726

Phone

(915) 562-1999

NPI assigned

Jul 22, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/epcgc/r4/

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.

• El Paso Child Guidance Center

  • Clinical Social Worker
  • El Paso, TX
  • NPI 1164755807
  NPD (past)
• El Paso Child Guidance Center Inc

  • Case Management Agency
  • El Paso, TX
  • NPI 1962519710
  NPD (past)

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1245495910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033726",
            "telephone_number": "915-562-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033726",
            "telephone_number": "915-562-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "SUSY",
        "middle_name": "RODARTE",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinedu John Ngwudike, MD
• Jacqueline M Nichols, LPN
• James Allen Nichols
• Jessica Sharon Nichols, PA-C
• Patrick Marshall Nichols, D. O.
• Trevor David Nichols, DO
• Connie Jean Nicholson, D.D.S.
• Leah Nicole Nicholson
• Melissa Nicholson, L.P.C.
• Tyler Clare Nicholson, MD

• Professional Counselor in El Paso, TX
• Providers in El Paso, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.