Active NPI
Nichols and Hill Counseling and Therapy Services, PLLC
- Mental Health Counselor
- Jamestown, TN
National Provider Identifier
1881258119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raquel Nichols, LPC/MHSP, LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q024569 | Medicaid | TN |
National Provider Directory
National Provider DirectoryPractitioners & 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.