Individual provider Active NPI

Nicolette Paul, MS,CI

  • Professional Counselor
  • Livingston, LA
National Provider Identifier
1548650534
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5835 Issued in LA
Practice address
28315 S Frost Rd
Livingston, LA 70754-2612
Phone
(225) 283-1356
Fax
(225) 683-1310
NPI assigned
Jan 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5835 LA
Professional Counselor 101YP2500X 5835 LA Primary

Addresses

Primary practice location

28315 S Frost Rd
Livingston, LA 70754-2612

Mailing address

2424 Drusilla LN Apt 127
Baton Rouge, LA 70809-1480
Phone (337) 292-7138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015001513 SC Practitioner - Mental Health Counselor 6305333196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oceanic Counseling Group LLCGroup PAC ID 4486067600, 42 clinicians

Practice addresses (Care Compare)

1304 Professional Dr
Suite E
Myrtle Beach, SC 29577-5712
Phone (843) 894-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5835LAMDMental Health Counselor
7911SCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanic Counseling Group LLC Mental Health CurrentSince Sep 22, 2025 Accepting new patients

Locations

11947 Grandhaven Dr
Ste N
Murrells Inlt, SC 29576
Phone (843) 652-4600

1304 Professional Dr
Ste E
Myrtle Beach, SC 29577

2179 Ashley Phosphate Rd
Ste A
North Charleston, SC 29406

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1548650534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 DRUSILLA LN APT 127",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091480",
            "telephone_number": "337-292-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28315 S FROST RD",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "707542612",
            "telephone_number": "225-283-1356",
            "fax_number": "225-683-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "NICOLETTE",
        "name_prefix": "Mrs.",
        "credential": "MS,CI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "5835",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, LA

Sources for this page

Verify at the official NPI Registry.