Kasey Joseph Nicholson, M.S., LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1340 LAC Issued in MT

Practice address

830 W Central Ave
Missoula, MT 59801-7931

Phone

(406) 829-9515

Fax

(406) 829-9519

NPI assigned

Dec 19, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1366711418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W CENTRAL AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017931",
            "telephone_number": "406-829-9515",
            "fax_number": "406-829-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W CENTRAL AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017931",
            "telephone_number": "406-829-9515",
            "fax_number": "406-829-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "KASEY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.S., LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1340 LAC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Newman, DO
• Newton B. Coutinho MD PLLC
• Next02 LLC (Blue Moose Pediatrics)
• Heather Nichols, LCPC
• William C Nichols, MD
• Christine Michele Nicklay, LCSW
• Claire E Nickless, PA-C
• Kendra Rae Nickol, OTR/L
• Annie Tanis Nicol, LMT
• Nicole Raymond

• Addiction (Substance Use Disorder) Counselor in Missoula, MT
• Providers in Missoula, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.