Nicole Ivancovich Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NICOLE IVANCOVICH THERAPY

Practice address

320 Dayton St Ste 202
Edmonds, WA 98020-3590

Phone

(425) 214-4957

NPI assigned

May 26, 2023

Organization subpart

No

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

Authorized official

Name

Nicole Ivancovich, MANPI 1770107377

Title

Owner

Phone

(206) 218-9395

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Ivancovich, LMHCA

  • Mental Health Counselor
  • Edmonds, WA
  • NPI 1770107377
  NPD Authorized official

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1245923242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9523 232ND ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 DAYTON ST STE 202",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203590",
            "telephone_number": "425-214-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE IVANCOVICH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "IVANCOVICH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-218-9395",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Nicewarner, MD, MPH
• Karen Nichols-Hoppe, ARNP
• Ken Nichols-Hoppe, PH.D.
• Joseph Carrol Nichols Jr., M.D.
• Sharon Ann Nicolazzi, M.D.
• Eva Marie Nielsen
• Alaine Nijenhuis, P.A.C
• Rex Z Nilson, DPM
• Janet Susan Noel, MA
• Mark Harrison Nolting, ND, L.AC.

• Mental Health Counselor in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.