Active NPI
Nicol's Village Vibes, LLC
- Adult Mental Health Clinic/Center
- Latham, NY
National Provider Identifier
1467357574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- NICOL'S VILLAGE VIBES, LLC
- Practice address
- 41 Latham Village LN Apt 23
Latham, NY 12110-3235 - Phone
- (518) 852-7841
- Fax
- (518) 245-0298
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicol Jenkins, LCSW-R
- Title
- Social Worker
- Phone
- (518) 852-7841
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | Primary |
Addresses
Primary practice location
41 Latham Village LN Apt 23
Latham, NY 12110-3235
Mailing address
41 Latham Village LN Apt 23
Latham, NY 12110-3235
Phone (518) 852-7841
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Galway, NY
- NPI 1588807747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1467357574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 LATHAM VILLAGE LN APT 23",
"city": "LATHAM",
"state": "NY",
"postal_code": "121103235",
"telephone_number": "518-852-7841",
"fax_number": "518-245-0298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 LATHAM VILLAGE LN APT 23",
"city": "LATHAM",
"state": "NY",
"postal_code": "121103235",
"telephone_number": "518-852-7841",
"fax_number": "518-245-0298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICOL'S VILLAGE VIBES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "NICOL",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "518-852-7841",
"authorized_official_credential": "LCSW-R"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.