Nicole Azaan, CFMP, ACNSRSAPP

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

AP-ETMD-2026-FA9CCS Issued in NC

Practice address

2015 Gum Branch Rd Apt 405
Jacksonville, NC 28540-4601

Phone

(646) 450-1448

Fax

(208) 978-5210

NPI assigned

Dec 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

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.

• NA Enterprises

  • Professional Counselor
  • Jacksonville, NC
  • NPI 1144072356

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1437620986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 COUNTRYMENS CT UNIT 51",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282106691",
            "telephone_number": "646-450-1448",
            "fax_number": "208-978-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GUM BRANCH RD APT 405",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404601",
            "telephone_number": "646-450-1448",
            "fax_number": "208-978-5210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Countrymens Ct Unit 51",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282106691",
            "country_code": "US",
            "telephone_number": "646-450-1448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 Hays Ln",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285469347",
            "country_code": "US",
            "telephone_number": "646-450-1448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZAAN",
        "first_name": "NICOLE",
        "credential": "CFMP, ACNSRSAPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NC",
            "license": "AP-CNSR-2026-6T863R",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NC",
            "license": "AP-ETMD-2026-FA9CCS",
            "primary": true
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": "NC",
            "license": "AP-FMMD-2026-IC3W4T",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": "NC",
            "license": "AP-FMCC-2026-D21Z3N",
            "primary": false
        },
        {
            "code": "1744G0900X",
            "taxonomy_group": "",
            "desc": "Specialist, Graphics Designer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Jacksonville, NC
• Cognitive & Behavioral Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.