Nicole Bauer, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

014615 Issued in NY

Practice address

201 Dixon Ave
Amityville, NY 11701-2994

Phone

(631) 691-5100

NPI assigned

Apr 15, 2024

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Timothy Hill Children'S Ranch, Inc.

  • Voluntary or Charitable Agency
  • Riverhead, NY
  • NPI 1881876928
  NPD (past)

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1851145908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 LENOX ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762609",
            "telephone_number": "516-510-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DIXON AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012994",
            "telephone_number": "631-691-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "298 Middle Rd",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119012034",
            "country_code": "US",
            "telephone_number": "631-369-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "NICOLE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geetha Balamurugan, DDS
• Balance Breath LCSW PLLC
• Balance With Intent Psychology, PLLC
• Donato Michael Balsamo, D.O.
• Christine Barsic
• Kimberly Ann Bauza, LMSW
• Guencia Beaubrun
• Nicola Beckles, PH.D.
• Sarah Belizaire, DNP, APRN,PMHMP-BC
• Zuleima Geecell Benitez Argueta

• Mental Health Counselor in Amityville, NY
• Providers in Amityville, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.