Active NPI
Cheryl Lynn Nicholas, LPC
- Professional Counselor
- Baton Rouge, LA
National Provider Identifier
1558717660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5127
- Practice address
- 411 Colonial Dr
Baton Rouge, LA 70806-6506 - Phone
- (225) 926-9706
- Fax
- (225) 926-9708
- NPI assigned
- May 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5127 | LA | Primary |
Addresses
Primary practice location
411 Colonial Dr
Baton Rouge, LA 70806-6506
Mailing address
2921 Osceola St
Baton Rouge, LA 70805-7960
Phone (225) 302-1879
Other practice location 1
9420 Lindale Ave Ste C
Baton Rouge, LA 70815-4161
Phone (225) 317-9598
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5127 | LA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1558717660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 OSCEOLA ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708057960",
"telephone_number": "225-302-1879",
"fax_number": "225-926-9708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 COLONIAL DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066506",
"telephone_number": "225-926-9706",
"fax_number": "225-926-9708"
}
],
"practiceLocations": [
{
"address_1": "9420 Lindale Ave Ste C",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708154161",
"country_code": "US",
"telephone_number": "225-317-9598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLAS",
"first_name": "CHERYL",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "5127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- 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.