Organization Active NPI

Natasha Nichols LLC

Doing business as New Waters Wellness

  • Professional Counselor
  • Solon, OH
National Provider Identifier
1578299905
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NATASHA NICHOLS LLC
Doing business as
New Waters Wellness
Practice address
32886 Bainbridge Rd
Solon, OH 44139-2264
Phone
(440) 732-3989
NPI assigned
Jul 27, 2022
Last updated
Jul 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Natasha Nichols, LPCC-S, BC-TMHNPI 1750870853
Title
Owner / Therapist
Phone
(440) 732-3989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

32886 Bainbridge Rd
Solon, OH 44139-2264

Mailing address

34194 Aurora Rd # 184
Solon, OH 44139-3801
Phone (440) 732-3989

Other identifiers 1

IdentifierTypeStateIssuer
0284889MedicaidOH

Other names 1

  • New Waters Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1578299905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34194 AURORA RD # 184",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393801",
            "telephone_number": "440-732-3989",
            "fax_number": "440-571-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32886 BAINBRIDGE RD",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392264",
            "telephone_number": "440-732-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATASHA NICHOLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER / THERAPIST",
        "authorized_official_telephone_number": "440-732-3989",
        "authorized_official_credential": "LPCC-S, BC-TMH"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0284889",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Waters Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.