Timothy I Nicholson, PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2012006798 Issued in MO

Practice address

1323 Sullivan Ave
Saint Louis, MO 63107-3919

Phone

(314) 265-7014

NPI assigned

Jul 9, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blash Counseling Associates

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1942675350
  NPD (past)
• Daniel L. Blash, LLC

  • Counselor
  • Saint Louis, MO
  • NPI 1639516354
  NPD (past)

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1629419437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 SULLIVAN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631073919",
            "telephone_number": "314-265-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 SULLIVAN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631073919",
            "telephone_number": "314-265-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "TIMOTHY",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012006798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylar Jordan Nichols, LCSW
• Steven H Nichols, MD
• Adam Nicholson, MSW
• Mikeya Nicholson, MA, LPC
• Susan Kay Nicholson, P.A.
• Adrienne Nickel, PLPC
• Pamela Marie Nickels, ED.D.
• Suzanne M Nickels, PTA
• Jenna Nickelson
• Jillian Alicia Nickelson

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.