Nicolette Marie Novak, TLMHC
Individual provider Active NPI Professional Counselor · West Des Moines, IA
NPI 1821667221 · NPPES record last updated Jun 21, 2021
Key facts
- NPI
- 1821667221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 109456 (IA)
- Practice address
- 1001 Office Park Rd Ste 205
West Des Moines, IA 50265-2509 - Phone
- (515) 471-2357
- NPI assigned
- Jun 21, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109456 | IA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 109456 | IA | Yes |
Addresses
Primary practice location
1001 Office Park Rd Ste 205
West Des Moines, IA 50265-2509
Mailing address
1001 Office Park Rd Ste 205
West Des Moines, IA 50265-2509
Phone (515) 471-2357
Other providers in West Des Moines, IA
- James David Nordstrom
- Jennifer Lynn Norgaard
- Jenna Norris
- Rachel Kathleen Norris
- Northstar Psychological Services, PLC
- Cecilia Grace Novotney
- Carly Noyes
- NTC LLC
- Jacy Nunez
- Ashley Nupp
All providers in West Des Moines, 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 Jun 21, 2021. 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.