Individual provider Active NPI

Nicole Palun, LPCC

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1629220199
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.0800301-S Issued in OH
Practice address
10200 Alliance Rd.
Ste. 150
Cincinnati, OH 45242-4754
Phone
(513) 975-4673
Fax
(513) 891-2838
NPI assigned
Oct 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.0800301-S OH Primary

Addresses

Primary practice location

10200 Alliance Rd.
Ste. 150
Cincinnati, OH 45242-4754

Mailing address

10200 Alliance Rd.
Ste. 150
Cincinnati, OH 45242-4754
Phone (513) 975-4673

Other names 1

  • Nicole Piersma Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 23, 2024 through Jul 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E.0800301-SOHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1629220199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 ALLIANCE RD.",
            "address_2": "STE. 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424754",
            "telephone_number": "513-975-4673",
            "fax_number": "513-891-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 ALLIANCE RD.",
            "address_2": "STE. 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424754",
            "telephone_number": "513-975-4673",
            "fax_number": "513-891-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUN",
        "first_name": "NICOLE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0800301-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "PIERSMA",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.