Nicole Jane Woolsey, MS CRC LPC-INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R6596 Issued in OR

Practice address

1380 Hines St SE
Salem, OR 97302-2528

Phone

(541) 505-4320

Fax

(458) 221-4223

NPI assigned

Jul 6, 2021

Last updated

Nov 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Jane Woolsey Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1750952313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 HINES ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 HINES ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022528",
            "telephone_number": "541-505-4320",
            "fax_number": "458-221-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLSEY",
        "first_name": "NICOLE",
        "middle_name": "JANE",
        "credential": "MS CRC LPC-INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R6596",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "OR",
            "license": "00282521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "WOOLSEY",
            "middle_name": "JANE",
            "credential": "MS CRC LPC-INTERN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Annie Woodworth, REGISTERED ASSOCIATE
• Scott William Wooldridge, RN
• Kenten D Woolhiser, MD
• Sarah Woolley, MA, LPC, ATR-P
• Spencer D Woolley, PHARM.D.
• Sarah Louise Wort
• Cunningham Worth
• Jennifer D. Worth, QMHA
• Taylor Nicole Worth, PA
• Baredu Bonso Wotcha, PHYSICIAN ASSISTANT

• Mental Health Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Counselor in Oregon

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