Nicolet Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39001898A Issued in IN

Legal business name

NICOLET COUNSELING LLC

Practice address

5709 Liberty CT
Fort Wayne, IN 46804-4335

Phone

(260) 436-5815

NPI assigned

Jun 14, 2011

Organization subpart

No

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

Authorized official

Name

Ronald NicoletNPI 1194998179

Title

Owner

Phone

(260) 436-5815

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 5

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

• Ronald G Nicolet, MA, LMHC, LCAC, NCC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1194998179
  Medicare reassignment Authorized official
• Paula A. Neuman, ED.D., PSY.D., HSPP

  • Health Service Psychologist
  • Fort Wayne, IN
  • NPI 1144555855
  Medicare reassignment NPD
• Eric J Betts, M.D.

  • Family Medicine Physician
  • La Fayette, GA
  • NPI 1336132679

  IN

  Medicare reassignment NPD
• Janae Bell, LCSW

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1992452957

  Mental Health

  NPD
• Brooke Bartels, LMHC

  • Mental Health Counselor
  • Auburn, IN
  • NPI 1003649021
  NPD (past)

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1346535754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 LIBERTY CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5709 LIBERTY CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044335",
            "telephone_number": "260-436-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLET COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "NICOLET",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-436-5815"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87000094A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001898A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexa Ann Nickelson, CNM, WHNP-BC
• Nathan D. Nicola, NP
• Nicolas a Soulier P C
• Nicolas a Soulier P C
• Stacy Nicole Nicole
• Megan Nicolet
• Ronald G Nicolet, MA, LMHC, LCAC, NCC
• Brandi Nicolette-Baker, OTR/L
• Virginia L Nider, NP
• Elise Niebel

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, 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 Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.