Active NPI
Nichole Oliver, LPC
- Professional Counselor
- Saint Charles, MO
National Provider Identifier
1558889014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2015029916
- Practice address
- 608 Jefferson St
Saint Charles, MO 63301-2776 - Phone
- (314) 566-6160
- NPI assigned
- Sep 5, 2017
- 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 | 2015029916 | MO | Primary |
Addresses
Primary practice location
608 Jefferson St
Saint Charles, MO 63301-2776
Mailing address
2717 Bellflower CT
O Fallon, MO 63368-9651
Phone (314) 566-6160
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 |
|---|---|---|---|
| 2015029916 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504569600000",
"number": "1558889014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 BELLFLOWER CT",
"city": "O FALLON",
"state": "MO",
"postal_code": "633689651",
"telephone_number": "314-566-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 JEFFERSON ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012776",
"telephone_number": "314-566-6160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "NICHOLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2017-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2015029916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.