Heather Nickerson, MED, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701005201 Issued in VA

Practice address

501 Village Ave Ste 204
Yorktown, VA 23693-5657

Phone

(757) 992-9291

NPI assigned

Mar 26, 2012

Sex

Female

Sole proprietor

No

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

Enrolled in VA

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Seaside Wellness LLCGroup PAC ID 5294277075, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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.

• Seaside Wellness, LLC

  • Mental Health Counselor
  • Yorktown, VA
  • NPI 1255026746
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1275809170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 VILLAGE AVE STE 204",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935657",
            "telephone_number": "757-992-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 VILLAGE AVE STE 204",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935657",
            "telephone_number": "757-992-9291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Medical Dr",
            "address_2": "Ste A & B",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236661769",
            "country_code": "US",
            "telephone_number": "757-788-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKERSON",
        "first_name": "HEATHER",
        "credential": "MED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701005201",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Nelson, HOSPITAL CORPSMAN
• Kara Michelle Nesser, COTA/L
• Chelsea Newbrough, RDN
• Kara Ann Newton, M.A.-SLP
• Zac Nicholson
• Nicolini Pediatrics PLLC
• NMC Portsmouth
• Carman Noel
• Sujata Nohria, RPH
• Erik Norman, LPC

• Professional Counselor in Yorktown, VA
• Providers in Yorktown, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.