Organization Active NPI

Nichols and Hill Counseling and Therapy Services, PLLC

  • Mental Health Counselor
  • Jamestown, TN
National Provider Identifier
1881258119
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NICHOLS AND HILL COUNSELING AND THERAPY SERVICES, PLLC
Practice address
3636 Pickett Park Hwy
Jamestown, TN 38556-5881
Phone
(931) 310-8338
NPI assigned
Apr 22, 2019
Last updated
Apr 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Raquel Nichols, LPC/MHSP, LMFTNPI 1821485871
Title
Member
Phone
(931) 310-8338

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

3636 Pickett Park Hwy
Jamestown, TN 38556-5881

Mailing address

121 Taft Story Rd
Jamestown, TN 38556-5894
Phone (931) 310-8338

Other identifiers 1

IdentifierTypeStateIssuer
Q024569MedicaidTN

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": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1881258119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 TAFT STORY RD",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385565894",
            "telephone_number": "931-310-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 PICKETT PARK HWY",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385565881",
            "telephone_number": "931-310-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLS AND HILL COUNSELING AND THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "931-310-8338",
        "authorized_official_credential": "LPC/MHSP, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q024569",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.