Active NPI
Melissa Nickels, LPC
- Counselor
- Rutherfordton, NC
National Provider Identifier
1669793089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2753
- Practice address
- 219 Hunters Trce
Rutherfordton, NC 28139-8499 - Phone
- (828) 287-0099
- NPI assigned
- Jun 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2753 | NC | Primary |
Addresses
Primary practice location
219 Hunters Trce
Rutherfordton, NC 28139-8499
Mailing address
219 Hunters Trce
Rutherfordton, NC 28139-8499
Phone (828) 287-0099
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 |
|---|---|---|---|
| 2753 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1669793089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 HUNTERS TRCE",
"city": "RUTHERFORDTON",
"state": "NC",
"postal_code": "281398499",
"telephone_number": "828-287-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 HUNTERS TRCE",
"city": "RUTHERFORDTON",
"state": "NC",
"postal_code": "281398499",
"telephone_number": "828-287-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKELS",
"first_name": "MELISSA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-21",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "2753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rutherfordton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.