Individual provider Active NPI

Jamie Nichols, LPC

  • Professional Counselor
  • Abington, PA
National Provider Identifier
1447879135
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012124 Issued in PA
Practice address
2 Hidden LN
Abington, PA 19001-4603
Phone
(267) 209-0449
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC012124 PA Primary

Addresses

Primary practice location

2 Hidden LN
Abington, PA 19001-4603

Mailing address

2 Hidden LN
Abington, PA 19001-4603
Phone (609) 731-1220

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
PC012124PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Mental Health & Wellness, LLC CurrentSince Dec 7, 2025 Accepting new patients
Open to Grace Wellness Professional CurrentSince Apr 19, 2020 Accepting new patients

Locations

941 Old York Rd
Abington, PA 19001
Phone (267) 209-0449

2 Hidden Ln
Abington, PA 19001
Phone (267) 209-0398

1051 County Line Rd
Ste 104
Huntingdon Valley, PA 19006
Phone (215) 302-9955

1707 Langhorne Newtown Rd
Langhorne, PA 19047
Phone (267) 209-0449

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1447879135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HIDDEN LN",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190014603",
            "telephone_number": "609-731-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HIDDEN LN",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190014603",
            "telephone_number": "267-209-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JAMIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.