Nicole A Tholmer, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC006965 Issued in GA

Practice address

1713 Wynndowne TRL SE
Smyrna, GA 30080-2480

Phone

(404) 909-7113

Fax

(770) 437-8413

NPI assigned

Sep 15, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Nicole Tholmer, LPC LLC

  • Adult Mental Health Clinic/Center
  • Smyrna, GA
  • NPI 1477263200
  NPD Authorized official

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

{
    "created_epoch": "1347667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1699025783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 WINDY HILL RD SE STE 252",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678619",
            "telephone_number": "770-765-1652",
            "fax_number": "678-426-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 WYNNDOWNE TRL SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802480",
            "telephone_number": "404-909-7113",
            "fax_number": "770-437-8413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1713 Wynndowne Trl SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300802480",
            "country_code": "US",
            "telephone_number": "404-909-7113",
            "fax_number": "770-437-8413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2470 Windy Hill Rd SE Ste 252",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300678619",
            "country_code": "US",
            "telephone_number": "770-765-1652",
            "fax_number": "678-426-8464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOLMER",
        "first_name": "NICOLE",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-15",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC006965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003204125A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ntholmer@seek-solace.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1713 Wynndowne Trl SE",
            "city": "Smyrna",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300802480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.