Monica Nichols, MA | NPI 1467946202

Key facts

NPI: 1467946202
Entity type: Individual (NPI type 1)
Primary specialty: Addiction (Substance Use Disorder) Counselor 101YA0400X
License: LCAS-22765 (NC)
Practice address: 306 N White St
Dobson, NC 27017-8938
Phone: (336) 414-7794
NPI assigned: Jun 15, 2018
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Phoenix Counseling Collaborative LLC Addiction (Substance Use Disorder) Counselor · Dobson, NC · NPI 1124754122

NPD ADDICTION (SUBSTANCE USE DISORDER)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Arts

State licenses

License	State	Type	Specialty
LCAS-22765	NC	MD	Addiction (Substance Use Disorder) Counselor

Practice roles

Organization	Specialty	Status	New patients
Phoenix Counseling Collaborative LLC	Addiction (Substance Use Disorder)	Current	Accepting new patients

Locations

306 N White St
Dobson, NC 27017
Phone (336) 356-9100

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Addiction (Substance Use Disorder) Counselor	101YA0400X	LCAS-22765	NC	Yes

Addresses

Primary practice location

306 N White St
Dobson, NC 27017-8938

Mailing address

390 Chilton Rd
Ararat, NC 27007-8040
Phone (336) 769-8342

Other practice location 1

113 N Crutchfield St
Dobson, NC 27017-8804
Phone (336) 414-7794

Other providers in Dobson, NC

Megan Mauzy, M.S. CCC-SLP
Jerri Goldston Mayberry, M.ED., R.D.,L.D.N.
Elizabeth Anne McGurk, PA-C, MPH
MH Medical Services, PC
Marquita Danielle Moss, FNP
Traci Cheek O'Dell, FNP
Gary Lee Pannabecker, DDS
Emily Megan Park, CCC-SLP
Peace Lily Development, Inc.
Peace Lily Development, Inc.

All providers in Dobson, NC · Addiction (Substance Use Disorder) Counselor in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.