Amber Nickol, BA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1001 N Market St
Mount Carmel, IL 62863

Phone

(618) 263-4970

Fax

(618) 263-4837

NPI assigned

Jan 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1588053243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MICAH DR",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624504720",
            "telephone_number": "618-395-4306",
            "fax_number": "618-395-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N MARKET ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "62863",
            "telephone_number": "618-263-4970",
            "fax_number": "618-263-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKOL",
        "first_name": "AMBER",
        "name_prefix": "Ms.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Murphy
• Nicole L Myers, BSW
• Narendra H Anadkat M D P C
• Kara Newman, PA-C
• Garrett Kungho Ni, MD
• Whitney Nicole Nixon, OTR/L
• No Boundaries Rehabilitation
• Jami Grace Nobbe, MS, LAT, ATC
• James Bradley O'Neal, M.S.
• Kim E O'Neal, LPC

• Mental Health Counselor in Mount Carmel, IL
• Providers in Mount Carmel, IL by specialty
• Mental Health Counselor in Illinois

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