Individual provider Active NPI

Terrance Kurt Nicholls, LMHC

  • Mental Health Counselor
  • White Plains, NY
National Provider Identifier
1477089043
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007631 Issued in NY
Practice address
280 Dobbs Ferry Rd
Suite 200
White Plains, NY 10607-1900
Phone
(973) 886-8209
NPI assigned
May 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 007631 NY Primary

Addresses

Primary practice location

280 Dobbs Ferry Rd
Suite 200
White Plains, NY 10607-1900

Mailing address

257 David Hooper PL
Westwood, NJ 07675-1909
Phone (201) 664-3329

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

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1477089043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 DAVID HOOPER PL",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751909",
            "telephone_number": "201-664-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 DOBBS FERRY RD",
            "address_2": "SUITE 200",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071900",
            "telephone_number": "973-886-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLLS",
        "first_name": "TERRANCE",
        "middle_name": "KURT",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.