Active NPI
Monica A Nichols, MA
- Professional Counselor
- Cary, NC
National Provider Identifier
1306201389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A12093
- Practice address
- 130 Iowa LN
Suite 203
Cary, NC 27511-4494 - Phone
- (919) 710-8684
- NPI assigned
- Dec 17, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A12093 | NC | Primary |
Addresses
Primary practice location
130 Iowa LN
Suite 203
Cary, NC 27511-4494
Mailing address
5323 Hidden Dove LN
#303
Raleigh, NC 27606-3784
Phone (919) 710-8684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A12093 | NC | MD | Professional Counselor |
| 12093 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1306201389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5323 HIDDEN DOVE LN",
"address_2": "#303",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276063784",
"telephone_number": "919-710-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 IOWA LN",
"address_2": "SUITE 203",
"city": "CARY",
"state": "NC",
"postal_code": "275114494",
"telephone_number": "919-710-8684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "MONICA",
"middle_name": "A",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-17",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A12093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.