Active NPI
David Daryl Nickens, LPC
- Professional Counselor
- Washington, DC
National Provider Identifier
1396186227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 80000067
- Practice address
- 707 Adrian St SE
Washington, DC 20019-4202 - Phone
- (301) 922-8621
- NPI assigned
- Jul 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 80000067 | DC | Primary |
| Marriage & Family Therapist | 106H00000X | LMFT000098 | DC |
Addresses
Primary practice location
707 Adrian St SE
Washington, DC 20019-4202
Mailing address
707 Adrian St SE
Washington, DC 20019-4202
Phone (301) 922-8621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80000067 | DC | MD | Professional Counselor |
| LMFT000098 | DC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1396186227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 ADRIAN ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200194202",
"telephone_number": "301-922-8621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 ADRIAN ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200194202",
"telephone_number": "301-922-8621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKENS",
"first_name": "DAVID",
"middle_name": "DARYL",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-08",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "80000067",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "DC",
"license": "LMFT000098",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.