Active NPI
Brent Smith Nicolini, LPC, LAC
- Professional Counselor
- Lafayette, LA
National Provider Identifier
1659896173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9151
- Practice address
- 4906 Ambassador Caffery Pkwy BLDG I
Lafayette, LA 70508-7013 - Phone
- (337) 895-0300
- Fax
- (337) 218-7064
- NPI assigned
- Aug 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1650 | LA | |
| Professional Counselor | 101YP2500X | 9151 | LA | Primary |
Addresses
Primary practice location
4906 Ambassador Caffery Pkwy BLDG I
Lafayette, LA 70508-7013
Mailing address
600 St Frances Street
Lafayette, LA 70506
Phone (337) 654-1988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1650 | LA | MD | Professional Counselor |
| 9151 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1659896173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 ST FRANCES STREET",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70506",
"telephone_number": "337-654-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4906 AMBASSADOR CAFFERY PKWY BLDG I",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705087013",
"telephone_number": "337-895-0300",
"fax_number": "337-218-7064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLINI",
"first_name": "BRENT",
"middle_name": "SMITH",
"credential": "LPC, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-04",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "1650",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "9151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.