Active NPI
Nicole Aimee Noffsinger-Frazier, PH.D.
- Counseling Psychologist
- Sewanee, TN
National Provider Identifier
1700068467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- P0000003046
- Practice address
- 94 Maxon LN
Sewanee, TN 37375-2000 - Phone
- (931) 636-3596
- NPI assigned
- Dec 4, 2007
- Last updated
- Jun 20, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 3317 | NC | |
| Clinical Psychologist | 103TC0700X | 0810003963 | VA | |
| Counseling Psychologist | 103TC1900X | P0000003046 | TN | Primary |
Addresses
Primary practice location
94 Maxon LN
Sewanee, TN 37375-2000
Mailing address
94 Maxon LN
Sewanee, TN 37375-2000
Phone (931) 636-3596
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3317 | NC | MD | Mental Health Counselor |
| 0810003963 | VA | MD | Clinical Psychologist |
| P0000003046 | TN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1700068467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 MAXON LN",
"city": "SEWANEE",
"state": "TN",
"postal_code": "373752000",
"telephone_number": "931-636-3596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 MAXON LN",
"city": "SEWANEE",
"state": "TN",
"postal_code": "373752000",
"telephone_number": "931-636-3596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOFFSINGER-FRAZIER",
"first_name": "NICOLE",
"middle_name": "AIMEE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-04",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": "3317",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810003963",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TN",
"license": "P0000003046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sewanee, TN
- Catherine Lynn Martin, PHYSICIAN ASSISTANT
- Maryellen McCone, LPC/MHSP
- Robin Hille Michaels, MA, LPC/MHSP
- Brooke Shoemaker Moody, CRNP
- Mountain Mobile Massage LLC (Lauren Laurino)
- Mary Pate-Bennett, M.S., R.D., C.L.C.
- Matthew J Petrilla, DO
- Robin Allison Reed-Spaulding, PHD
- Gerre L Schwert, LCSW
- Devon Forbes Frances Serrano, MS, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.