Active NPI
Nonie Marie Nicklas, LMFT
- Marriage & Family Therapist
- Freehold, NJ
National Provider Identifier
1508030735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 37FI00157000
- Practice address
- 57 W Main St
Freehold, NJ 07728-2146 - Phone
- (732) 939-8908
- Fax
- (732) 333-0897
- NPI assigned
- Apr 18, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 37FI00157000 | NJ | Primary |
Addresses
Primary practice location
57 W Main St
Freehold, NJ 07728-2146
Mailing address
57 W Main St
Freehold, NJ 07728-2146
Phone (732) 939-8908
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 |
|---|---|---|---|
| 37FI00157000 | NJ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1508030735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 W MAIN ST",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282146",
"telephone_number": "732-939-8908",
"fax_number": "732-333-0897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 W MAIN ST",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282146",
"telephone_number": "732-939-8908",
"fax_number": "732-333-0897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKLAS",
"first_name": "NONIE",
"middle_name": "MARIE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-18",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NJ",
"license": "37FI00157000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.