Individual provider Active NPI

Inahi Maria Nichols, M.S.W., LGSW

  • Mental Health Counselor
  • North Potomac, MD
National Provider Identifier
1538307889
Registry record updated Jan 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
G11526 Issued in MD
Practice address
11178 Captains Walk CT
North Potomac, MD 20878-4222
Phone
(301) 424-9162
NPI assigned
Jan 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2009

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 G11526 MD Primary

Addresses

Primary practice location

11178 Captains Walk CT
North Potomac, MD 20878-4222

Mailing address

11178 Captains Walk CT
North Potomac, MD 20878-4222
Phone (301) 424-9162

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
G11526MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1232841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232841600000",
    "number": "1538307889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11178 CAPTAINS WALK CT",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208784222",
            "telephone_number": "301-424-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11178 CAPTAINS WALK CT",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208784222",
            "telephone_number": "301-424-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "INAHI",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "M.S.W., LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-25",
        "last_updated": "2009-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "G11526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2009; 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.