Nicole Taft

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHL-074-187 Issued in NC

Practice address

3987 Sterling Pointe Dr
LLL-1
Winterville, NC 28590-9243

Phone

(252) 830-3934

NPI assigned

Nov 13, 2007

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Jada'S House,LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Winterville, NC
  • NPI 1255512877
  NPD (past) Authorized official

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1386824829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3987 STERLING POINTE DR",
            "address_2": "LLL-1",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909243",
            "telephone_number": "252-830-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3987 STERLING POINTE DR",
            "address_2": "LLL-1",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909243",
            "telephone_number": "252-830-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFT",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "MHL-074-187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Stuart, RD
• Sunset Eye Care OD PLLC
• Superior Health and Human Services, Inc.
• Sustained Serenity Mental Health Services PLLC
• Aatwanti Mont'Ae Swain, PHARMD,MBA
• Kirstin Tart, PT,ATP
• Anna Tauzer, PT
• Michelle Tennant
• The May House
• Therapeutic Intervention Services, Inc

• Mental Health Counselor in Winterville, NC
• Providers in Winterville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.