Nicole Danielle Amon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

207 N Franklin St
Mt Pleasant, MI 48858-2303

Phone

(989) 824-2374

NPI assigned

Jan 26, 2023

Last updated

Jan 26, 2023By 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

Other identifiers 1

Other names 1

• Nicole Danielle Church Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• New Mind Counseling Services, LLC

  • Clinical Social Worker
  • Mt Pleasant, MI
  • NPI 1336795533
  NPD

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1679289326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N FRANKLIN ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582303",
            "telephone_number": "988-824-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N FRANKLIN ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582303",
            "telephone_number": "989-824-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMON",
        "first_name": "NICOLE",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649360769",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CHURCH",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ambulatory Infusion Care, Inc
• Ambulatory Infusion Care, Inc.
• Ambulatory Infusion Care, Inc.
• American DME and Medical Supply, Inc.
• Shamel Amin, M.D.
• Carla Marie Anderson, ND
• Kimberly Ruth Anderson, R.N., C-FNP
• Lisa L Anderson, LPC
• John M Andraka, DPT
• Kristin Marie Ash Andraka, DPT

• Clinical Social Worker in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.