Nicholas Jordan Little
Individual provider Active NPI Professional Counselor · Ankeny, IA
NPI 1760214928 · NPPES record last updated Aug 16, 2024
Key facts
- NPI
- 1760214928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 1105 N Ankeny Blvd Ste 100
Ankeny, IA 50023-4003 - Phone
- (515) 255-8399
- NPI assigned
- Aug 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IA | Yes |
Addresses
Primary practice location
1105 N Ankeny Blvd Ste 100
Ankeny, IA 50023-4003
Mailing address
3526 Linden Dr SW
Bondurant, IA 50035-6844
Phone (515) 528-6489
Other providers in Ankeny, IA
- Jessica Sue Lilland
- Caroline Julie Linde
- Stephanie Lingen
- Amy Lippman
- Ayusa Ogawa Lisk
- Theodore Lockard
- Amy Marie Lodes
- Marnie M Loftus
- Celina Logworong
- Melissa Lohmann
All providers in Ankeny, IA · Professional Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.