Nicole Marie Sidebottom, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6381 Issued in CO

Practice address

7505 Village Square Dr Ste 207
Castle Pines, CO 80108-3693

Phone

(303) 323-4277

NPI assigned

Feb 23, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 18, 2024 through Jan 18, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Nicole Sidebottom Counseling LLC

  • Professional Counselor
  • Castle Pines, CO
  • NPI 1386132017
  NPD Authorized official

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710028800000",
    "number": "1831462738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 PEBBLE CREEK WAY UNIT 104",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801266028",
            "telephone_number": "303-903-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 VILLAGE SQUARE DR STE 207",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801083693",
            "telephone_number": "303-323-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDEBOTTOM",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2024-03-10",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "6381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dona Schulz, RDH, BS, MBA
• Taylor Schumacher, PA-C
• Anissa Catherine Schymik, FNP
• Meghann Scott-Cramer
• Audrey Sherman, NP
• Melissa Simpson, LPC
• Kraig Smiegowski, L.C.S.W.
• Magda Suyen Solari, PHARMD
• Kelly Carson Souza, PSY D
• Hilary St.John

• Mental Health Counselor in Castle Pines, CO
• Providers in Castle Pines, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.