Michael Niccols Jr.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

25 N Thompson LN Ste E
Irwin, PA 15642-9305

Phone

(724) 382-4941

NPI assigned

Sep 25, 2018

Last updated

Jan 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alepix Behavioral Clinic Professional Corporation

  • Adolescent and Children Mental Health Clinic/Center
  • Irwin, PA
  • NPI 1043849086
  NPD

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1376028415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 CHERRY TREE LN",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018947",
            "telephone_number": "724-439-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N THOMPSON LN STE E",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156429305",
            "telephone_number": "724-382-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICCOLS",
        "first_name": "MICHAEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-25",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Newcomer
• Savannah Newcomer
• Gregory John Newmaster
• Next4Sleep LLC (NEXT4Sleep)
• Maria Ney
• Alexander Nichols
• Sarah Nichols
• Corey Nicholson
• Nick Summa LMFT LLC
• Mary Jeen Nicola, CRNP

• Mental Health Counselor in Irwin, PA
• Providers in Irwin, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.