Nicole Carson Degomez, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-4026 Issued in AZ

Practice address

1016 W. University #202
Flagstaff, AZ 86001

Phone

(928) 773-7774

Fax

(928) 774-1148

NPI assigned

Nov 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• ADHD Clinics of Arizona

  • Adolescent and Children Mental Health Clinic/Center
  • Flagstaff, AZ
  • NPI 1649403544
  NPD (past)
• Krietsch & Daiss PC

  • Clinical Psychologist
  • Flagstaff, AZ
  • NPI 1780847046
  NPD (past)

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1649423724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 W. UNIVERSITY #202",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-773-7774",
            "fax_number": "928-774-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W. UNIVERSITY #202",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-773-7774",
            "fax_number": "928-774-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGOMEZ",
        "first_name": "NICOLE",
        "middle_name": "CARSON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-4026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550534",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill A Dedera, L.AC.
• James Aaron Dees, MD
• Julie A Degeyter, PT, DPT
• Birch Marcel Degomez, M.D.
• Chelsey Degomez
• Julie A. Degroff, OTR/L
• Maya R Dehlinger
• Anya Regina Dehr-Turrell, PHARMD
• Rachel Kylie Dejesus-Williams
• Justin Michael Delange, D.O.

• Professional Counselor in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.