Lisa Nichols, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

275 Riverview Ave
Shelton, CT 06484-0648

Phone

(203) 305-8854

Fax

(203) 305-8854

NPI assigned

Nov 8, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

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)

Not enrolled

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548773930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 RIVERVIEW AVE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064842215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 RIVERVIEW AVE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064840648",
            "telephone_number": "203-305-8854",
            "fax_number": "203-305-8854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Silver St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064573946",
            "country_code": "US",
            "telephone_number": "860-346-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "LISA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eavey Moore Newton
• Rae A. Nezat, OTR/L
• Jill Nicolia
• Ramon Antonio Nieves Jr., LCSW
• Jason Martin Nobrega, PA
• Stacie Marie Nolan, M.S., CCC-SLP
• Dawn Nolte, DVM

• Professional Counselor in Shelton, CT
• Providers in Shelton, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.