Individual provider Active NPI

Joshua Paul Nichols, M.S.

  • Marriage & Family Therapist
  • Oklahoma City, OK
National Provider Identifier
1497924310
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2932 NW 122ND St
Suite 20
Oklahoma City, OK 73120-1957
Phone
(405) 242-5305
NPI assigned
Feb 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X OK Primary

Addresses

Primary practice location

2932 NW 122ND St
Suite 20
Oklahoma City, OK 73120-1957

Mailing address

2932 NW 122ND St
Suite 20
Oklahoma City, OK 73120-1957
Phone (405) 242-5305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1497924310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 NW 122ND ST",
            "address_2": "SUITE 20",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201957",
            "telephone_number": "405-242-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 NW 122ND ST",
            "address_2": "SUITE 20",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201957",
            "telephone_number": "405-242-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JOSHUA",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.