Organization Active NPI

Nicole Tholmer, LPC LLC

  • Adult Mental Health Clinic/Center
  • Smyrna, GA
National Provider Identifier
1477263200
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NICOLE THOLMER, LPC LLC
Practice address
112 Cumberland Gate SE
Smyrna, GA 30080-7705
Phone
(770) 765-1652
Fax
(678) 426-8464
NPI assigned
Dec 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Nicole Tholmer, LPCNPI 1699025783
Title
Ceo/ Therapist
Phone
(770) 765-1652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

112 Cumberland Gate SE
Smyrna, GA 30080-7705

Mailing address

3316A S Cobb Dr SE Ste 221
Smyrna, GA 30080-4118
Phone (770) 765-1652

Other identifiers 1

IdentifierTypeStateIssuer
003204125AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ntholmer@seek-solace.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1477263200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316A S COBB DR SE STE 221",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804118",
            "telephone_number": "770-765-1652",
            "fax_number": "678-426-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CUMBERLAND GATE SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807705",
            "telephone_number": "770-765-1652",
            "fax_number": "678-426-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE THOLMER, LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "THOLMER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO/ THERAPIST",
        "authorized_official_telephone_number": "770-765-1652",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003204125A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ntholmer@seek-solace.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1713 Wynndowne Trl SE",
            "city": "Smyrna",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300802480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.