Courtney Nowicki, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

34010717A Issued in IN

Practice address

401 W Bristol St
Elkhart, IN 46514-3019

Phone

(574) 400-8850

NPI assigned

Feb 15, 2023

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

Other names 1

• Courtney Osborne Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 13, 2023 through Oct 13, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Firm Foundation Counseling LLC

  • Mental Health Counselor
  • Elkhart, IN
  • NPI 1073239406
  NPD

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1336846708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465143019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465143019",
            "telephone_number": "574-400-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWICKI",
        "first_name": "COURTNEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "33010110A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34010717A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "OSBORNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Northern Indiana Ambulatory Surgery Center
• Northern Indiana Anesthesia Services, P.C.
• Northern Indiana Health Center
• Northern Indiana Speech Therapy
• Gregory Scott Nowak, MD
• Magdalena Graber-Yoder Nowicki, OTR
• Michaela B Nufer, NNP-BC
• Nurse Practitioner Services of Michiana
• George Collins Nwadiaro, MD
• Victor Nwankwo

• Mental Health Counselor in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.

Verify at the official NPI Registry.