Steven Kenneth Nielsen, ED.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810000081 Issued in VA

Practice address

101 Duncraig Dr
Suite 104
Lynchburg, VA 24502-5789

Phone

(434) 444-0738

Fax

(434) 237-4307

NPI assigned

Jul 7, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Magnolia Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Lynchburg, VA
  • NPI 1336768159
  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1508249608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DUNCRAIG DR",
            "address_2": "SUITE 104",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025789",
            "telephone_number": "434-444-0738",
            "fax_number": "434-237-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DUNCRAIG DR",
            "address_2": "SUITE 104",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025789",
            "telephone_number": "434-444-0738",
            "fax_number": "434-237-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "STEVEN",
        "middle_name": "KENNETH",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuan Hoa Nguyen
• Katherine Virginia Nichols, MD
• Kensley Nichols, M.D.
• Brooks Tanner Nielsen
• Jane Lovelace Nielsen, MA LPC
• Tiffany Kuulei Niide, M.D., PH.D.
• Sarina Nikzad
• Amanda Blair Noel, LPC
• Jeremy David Noel
• Constantine Bloodworth Nolan

• Clinical Psychologist in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.