Courtney M Nicholson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

12340 Issued in TX

Practice address

12451 Hwy 1806
Mobridge, SD 57601

Phone

(605) 845-7181

Fax

(605) 845-5072

NPI assigned

Mar 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Courtney M Aguilar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1437786373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576010680",
            "telephone_number": "605-845-7181",
            "fax_number": "605-845-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12451 HWY 1806",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "57601",
            "telephone_number": "605-845-7181",
            "fax_number": "605-845-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "COURTNEY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "AGUILAR",
            "middle_name": "M",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mobridge Regional Hospital
• Mobridge Regional Hospital (Pharmacy)
• Mobridge School District #62-3
• Mobridge-Pollock School District 62-6
• Next Level Wellness, LLC
• Maranda Obritsch
• Heather Olson, PA-C
• John Charles Olson, O.D.
• Jennifer Ashley-Marie Pepin, RD, LDN
• Drew D Petersen, PT,DPT

• Addiction (Substance Use Disorder) Counselor in Mobridge, SD
• Providers in Mobridge, SD by specialty
• Addiction (Substance Use Disorder) Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.