Nicole Lynn Ciulla, LCMHCA

Key facts

NPI

1679433189

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

A22284 (NC)

Practice address

116 Woodbridge CT
Jacksonville, NC 28540-9168

Phone

(252) 503-7248

NPI assigned

Nov 17, 2025

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 23, 2025.

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1679433189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WOODBRIDGE CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285409168",
            "telephone_number": "252-503-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WOODBRIDGE CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285409168",
            "telephone_number": "252-503-7248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Rhem St",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285625551",
            "country_code": "US",
            "telephone_number": "252-633-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIULLA",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A22284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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