Nicole Wardell, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NICOLE WARDELL, LLC

Practice address

3 Cleveland CT
Greenville, SC 29607-2414

Phone

(864) 901-4600

NPI assigned

Mar 14, 2019

Organization subpart

No

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

Authorized official

Name

Nicole Wardell, LPCNPI 1124310941

Title

Owner

Phone

(864) 901-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole S Wardell

  • Counselor
  • Greenville, SC
  • NPI 1124310941
  NPD Authorized official

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1265991731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 E CASTLE DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296053204",
            "telephone_number": "864-901-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CLEVELAND CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072414",
            "telephone_number": "864-901-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE WARDELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "WARDELL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-901-4600",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1454",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lawton Nickles
• John Kenneth Nickles, DMD
• Hannah Shull Nicks, MD
• Lillian Mishelle Nicks, FNP
• Madison Haley Nicksic, FNP-BC
• Elyse Nicolette, OTR
• Ashley Dunn Nida
• Laura Grace Niederbrach, OD
• Anne Devereux Niehaus, MD
• Lisa Barnes Niemeyer

• Mental Health Counselor in Greenville, SC
• Providers in Greenville, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.