Organization Active NPI

Nicole W Nimmo LPC LLC

  • Professional Counselor
  • Valdosta, GA
National Provider Identifier
1841133634
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NICOLE W NIMMO LPC LLC
Practice address
2310 N Patterson St BLDG H
Valdosta, GA 31602-2500
Phone
(229) 333-0300
Fax
(229) 333-0306
NPI assigned
Apr 14, 2026
Last updated
Apr 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Nicole Nimmo, LPCNPI 1548066095
Title
Owner/Provider
Phone
(229) 977-6686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2310 N Patterson St BLDG H
Valdosta, GA 31602-2500

Mailing address

2310 N Patterson St BLDG H
Valdosta, GA 31602-2500
Phone (229) 333-0300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1841133634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 N PATTERSON ST BLDG H",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022500",
            "telephone_number": "229-333-0300",
            "fax_number": "229-333-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N PATTERSON ST BLDG H",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022500",
            "telephone_number": "229-333-0300",
            "fax_number": "229-333-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE W NIMMO LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "NIMMO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "229-977-6686",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.