Individual provider Active NPI

Nicole A Vasseur, LCSW

  • Mental Health Counselor
  • Littleton, CO
National Provider Identifier
1396318002
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00992382 Issued in CO
Practice address
9121 White Pelican Way
Littleton, CO 80126-7413
Phone
(303) 332-6134
NPI assigned
Jul 20, 2021
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00992382 CO Primary

Addresses

Primary practice location

9121 White Pelican Way
Littleton, CO 80126-7413

Mailing address

9121 White Pelican Way
Littleton, CO 80126-7413
Phone (303) 332-6134

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Littleton Direct

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

LicenseStateTypeSpecialty
00992382COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1396318002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 WHITE PELICAN WAY",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801267413",
            "telephone_number": "303-332-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 WHITE PELICAN WAY",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801267413",
            "telephone_number": "303-332-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSEUR",
        "first_name": "NICOLE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "00992382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Littleton",
            "affiliation": "N",
            "endpointDescription": "Simple Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9121 White Pelican Way",
            "city": "Littleton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801267413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.