Individual provider Active NPI

Nicco Allen, ACMHC

  • Mental Health Counselor
  • Chandler, AZ
National Provider Identifier
1710666276
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5499201-6009 Issued in UT
Practice address
1490 S Price Rd Ste 209a
Chandler, AZ 85286-6609
Phone
(801) 410-0171
NPI assigned
Jul 12, 2023
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5499201-6009 UT Primary

Addresses

Primary practice location

1490 S Price Rd Ste 209a
Chandler, AZ 85286-6609

Mailing address

1490 S Price Rd Ste 209a
Chandler, AZ 85286-6609
Phone (801) 410-0171

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

LicenseStateTypeSpecialty
5499201-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
3Lines LLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

1490 S Price Rd
Ste 209A
Chandler, AZ 85286
Phone (801) 410-0171

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1710666276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 S PRICE RD STE 209A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866609",
            "telephone_number": "801-410-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 S PRICE RD STE 209A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866609",
            "telephone_number": "801-410-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "NICCO",
        "credential": "ACMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "5499201-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.