Nicole Danielle Tavera

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

311602 Issued in KY

Practice address

9204 Taylorsville Rd Ste 215
Jeffersontown, KY 40299-1789

Phone

(267) 325-8796

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1659285955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E MAIN ST UNIT 306",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021288",
            "telephone_number": "267-325-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9204 TAYLORSVILLE RD STE 215",
            "city": "JEFFERSONTOWN",
            "state": "KY",
            "postal_code": "402991789",
            "telephone_number": "267-325-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERA",
        "first_name": "NICOLE",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "311602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Jeffersontown, KY
• Providers in Jeffersontown, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.