Individual provider Active NPI

Nichole Nickerson, MA, LPC

  • Professional Counselor
  • Abilene, TX
National Provider Identifier
1396120986
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70725 Issued in TX
Practice address
500 Chestnut St Ste 1001
Abilene, TX 79602-1477
Phone
(325) 437-1001
Fax
(325) 437-1005
NPI assigned
Jul 23, 2015
Last updated
Apr 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 70725 TX Primary

Addresses

Primary practice location

500 Chestnut St Ste 1001
Abilene, TX 79602-1477

Mailing address

500 Chestnut St Ste 1001
Abilene, TX 79602-1477
Phone (325) 437-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227000250 TX Practitioner - Mental Health Counselor 5991155426 Practice locations: Abilene, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Chestnut St
Suite 1001
Abilene, TX 79602-1477
Phone (325) 437-1001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
70725TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Key City Psychology CurrentSince Aug 25, 2025 Accepting new patients
St. Cyr, LLC Professional PastSince Jan 1, 2024 Accepting new patients
Knight NHCC of NRH LLC Professional PastSince Nov 20, 2015 Accepting new patients

Locations

500 Chestnut St
Ste 1001
Abilene, TX 79602
Phone (325) 437-1001

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1396120986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHESTNUT ST STE 1001",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796021477",
            "telephone_number": "325-437-1001",
            "fax_number": "325-437-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHESTNUT ST STE 1001",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796021477",
            "telephone_number": "325-437-1001",
            "fax_number": "325-437-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKERSON",
        "first_name": "NICHOLE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.