Individual provider Active NPI

Nicole Palmer, LPCC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1447618756
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
241602 Issued in KY
Practice address
2550 Eastpoint Pkwy Ste 210
Louisville, KY 40223-4128
Phone
(502) 975-2960
NPI assigned
Feb 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X 241602 KY Primary

Addresses

Primary practice location

2550 Eastpoint Pkwy Ste 210
Louisville, KY 40223-4128

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (502) 975-2960

Other practice location 1

1017 Dupont Road
Louisville, KY 40207
Phone (502) 365-4467 ext. 2383

Other practice location 2

9203 Sprucedale Way
Apartment 2
Louisville, KY 40291-4748
Phone (502) 457-9954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241206000235 KY Practitioner - Mental Health Counselor 4385170919 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC CurrentSince Oct 1, 2024 Accepting new patients
Spero Health of Kentucky, LLC PastSince May 13, 2022 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

100 Executive Park
Ste 103
Louisville, KY 40207
Phone (502) 313-6880

2550 Eastpoint Pkwy
Ste 210
Louisville, KY 40223
Phone (502) 750-9384

10331 Champion Farms Dr
Louisville, KY 40241
Phone (502) 313-6877

Interoperability endpoints

  • Direct secure messaging: pbc.nicolepalmer@140097.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1447618756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "502-975-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 EASTPOINT PKWY STE 210",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234128",
            "telephone_number": "502-975-2960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1017 Dupont Road",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40207",
            "country_code": "US",
            "telephone_number": "502-365-4467 x2383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9203 Sprucedale Way",
            "address_2": "Apartment 2",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402914748",
            "country_code": "US",
            "telephone_number": "502-457-9954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "NICOLE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "241602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.