Individual provider Active NPI

Jamie Nicolich, LAC, NCC

  • Mental Health Counselor
  • Morristown, NJ
National Provider Identifier
1801488994
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00547000 Issued in NJ
Practice address
25 Lindsley Dr Ste 203
Morristown, NJ 07960-4456
Phone
(973) 998-7900
NPI assigned
Feb 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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 37AC00547000 NJ Primary

Addresses

Primary practice location

25 Lindsley Dr Ste 203
Morristown, NJ 07960-4456

Mailing address

44 Rivendell Rd
Succasunna, NJ 07876-1547
Phone (973) 885-2423

Other identifiers 1

IdentifierTypeStateIssuer
1881936847OtherNJTHERAPY RESOURCES OF MORRIS COUNTY

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
37AC00547000NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Connections Counseling, a Psychological Corporation Mental Health PastSince Sep 1, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1801488994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 RIVENDELL RD",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761547",
            "telephone_number": "973-885-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LINDSLEY DR STE 203",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604456",
            "telephone_number": "973-998-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLICH",
        "first_name": "JAMIE",
        "credential": "LAC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00547000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPY RESOURCES OF MORRIS COUNTY",
            "identifier": "1881936847",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.