Active NPI
Andrew Nichols, LMHC
- Counselor
- Seattle, WA
National Provider Identifier
1467828020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MC60421255
- Practice address
- 1605 12TH Ave
Suite 27
Seattle, WA 98122-2467 - Phone
- (206) 569-4493
- NPI assigned
- Aug 18, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MC60421255 | WA | Primary |
Addresses
Primary practice location
1605 12TH Ave
Suite 27
Seattle, WA 98122-2467
Mailing address
1605 12TH Ave
Suite 27
Seattle, WA 98122-2467
Phone (206) 569-4493
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
| License | State | Type | Specialty |
|---|---|---|---|
| MC60421255 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1467828020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 12TH AVE",
"address_2": "SUITE 27",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222467",
"telephone_number": "206-569-4493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 12TH AVE",
"address_2": "SUITE 27",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222467",
"telephone_number": "206-569-4493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "ANDREW",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-18",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "MC60421255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.