Nicole Devol, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401011969 Issued in MI

Practice address

3642 Orchard VW
Traverse City, MI 49684-8940

Phone

(231) 409-1276

NPI assigned

Aug 7, 2014

Last updated

Jun 15, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1316356074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W 11TH ST",
            "address_2": "#217",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843287",
            "telephone_number": "231-409-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3642 ORCHARD VW",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848940",
            "telephone_number": "231-409-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVOL",
        "first_name": "NICOLE",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401011969",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MI",
            "license": "PF0000000783549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather L Dermyer, PH.D.
• Rebecca Ann Derocha, MA, LPC, CAAC-R
• Barbara Deroshia
• Leah Derris
• Sara K Devaun, P.T.
• Cheryl Lynn Devries
• Stacey L Devries, CRNA
• Nicole Lynn Dewey, OT
• Sheryl Ann Dey, LMSW
• Brooke Di Giacomo

• Mental Health Counselor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.