Regina Nicholson

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

12677 Tall Timber Cir
North Royalton, OH 44133-3711

Phone

(216) 562-7214

Fax

(440) 457-7088

NPI assigned

Jul 29, 2024

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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.

• I Matter Counseling & Empowerment Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parma, OH
  • NPI 1679043285
  NPD

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1538998612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 KEVIN PL",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436101561",
            "telephone_number": "318-381-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12677 TALL TIMBER CIR",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333711",
            "telephone_number": "216-562-7214",
            "fax_number": "440-457-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "REGINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Eugene Nettgen
• Neurotech, LLC
• New Vista Services, LTD
• Sally A Newman, P.T.
• Megan Day Nicholas
• North Royalton City Schools
• Northeast Care Center, Inc.
• Northeast Care Center, Inc.
• Northeast Care Center, Inc.
• Nicole Maureen Nuttall

• Community/Behavioral Health Agency in North Royalton, OH
• Providers in North Royalton, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.