Alicia Nicholson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1610156 Issued in AR

Practice address

1308 Oak St Unit a
Conway, AR 72034-5339

Phone

(501) 581-3479

Fax

(501) 932-6379

NPI assigned

Jun 12, 2014

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

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.

• Alan Hahn LPC PLLC

  • Mental Health Counselor
  • Conway, AR
  • NPI 1588282198
  NPD (past)
• New Beginings Behavioral Health

  • Community/Behavioral Health Agency
  • Little Rock, AR
  • NPI 1699215392
  NPD (past)

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553990400000",
    "number": "1871907337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GRAPEVINE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345549",
            "telephone_number": "501-581-3479",
            "fax_number": "501-932-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 OAK ST UNIT A",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345339",
            "telephone_number": "501-581-3479",
            "fax_number": "501-932-6379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7107 W 12th St",
            "address_2": "suite 201",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722042404",
            "country_code": "US",
            "telephone_number": "501-663-1837",
            "fax_number": "501-663-1839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "ALICIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2019-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1610156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billy Nichols, CMP
• Jennifer Nichols, RECOVERY ASSISTANT
• Jeremy Nichols
• Jessica Nichols, MHPP
• Jessica Lynne Nichols
• Grace Alexandra Oheo Nickles
• Christina Nielsen
• Christopher Nielsen, LAC
• Angela Hudson Nix, LAC
• Meaghan Nix, RT(MR)

• Professional Counselor in Conway, AR
• Providers in Conway, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2019; 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.