Malea Nicolet, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1345 Monroe Ave NW Ste 332
Grand Rapids, MI 49505-4673

Phone

(616) 638-6168

NPI assigned

Jan 17, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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": "1452988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1376900605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2164 PARSLOW DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412784",
            "telephone_number": "616-638-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 MONROE AVE NW STE 332",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054673",
            "telephone_number": "616-638-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLET",
        "first_name": "MALEA",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-17",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451023731",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501006782",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Nickerson, PTA
• Jesse Bryan Nicodemus, MOT
• Sonia Nicola
• Lillian Ann Nicolas
• Nicole L Nicolas, MS, CCC-SLP
• Nicholas William Nicoletti
• Rashea Crystal Nidefski, LBSW
• Jennifer Niedzwiecki, PHARMD
• Thomas Niedzwiecki
• Alexandrea Nielsen, LLMSW

• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.