Organization Active NPI

Jill Nichols Therapy PLLC

  • Marriage & Family Therapist
  • Davenport, FL
National Provider Identifier
1740114255
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
JILL NICHOLS THERAPY PLLC
Practice address
1109 Cypress Pointe Blvd
Davenport, FL 33896-3503
Phone
(402) 227-5095
NPI assigned
Jun 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Jill Nichols, LMFT, MA, BSNPI 1922989821
Title
LMFT
Phone
(402) 227-5095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1109 Cypress Pointe Blvd
Davenport, FL 33896-3503

Mailing address

1109 Cypress Pointe Blvd
Davenport, FL 33896-3503
Phone (402) 227-5095

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1740114255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 CYPRESS POINTE BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338963503",
            "telephone_number": "402-227-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 CYPRESS POINTE BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338963503",
            "telephone_number": "402-227-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL NICHOLS THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "402-227-5095",
        "authorized_official_credential": "LMFT, MA, BS"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.