Active NPI
Nicole M Soulia
- Mental Health Counselor
- Malone, NY
National Provider Identifier
1801046370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 209 Park Street
North Star Behavioral Health Services
Malone, NY 12953 - Phone
- (518) 481-5746
- Fax
- (518) 481-3383
- NPI assigned
- Sep 22, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
209 Park Street
North Star Behavioral Health Services
Malone, NY 12953
Mailing address
209 Park Street
North Star Behavioral Health Services
Malone, NY 12953
Phone (518) 481-5746
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222041600000",
"number": "1801046370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 PARK STREET",
"address_2": "NORTH STAR BEHAVIORAL HEALTH SERVICES",
"city": "MALONE",
"state": "NY",
"postal_code": "12953",
"telephone_number": "518-481-5746",
"fax_number": "518-481-3383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 PARK STREET",
"address_2": "NORTH STAR BEHAVIORAL HEALTH SERVICES",
"city": "MALONE",
"state": "NY",
"postal_code": "12953",
"telephone_number": "518-481-5746",
"fax_number": "518-481-3383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOULIA",
"first_name": "NICOLE",
"middle_name": "M",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-22",
"last_updated": "2008-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.