Individual provider Active NPI

Nicole Trier, LMHCA

  • Mental Health Counselor
  • Columbia City, IN
National Provider Identifier
1912368465
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88000168A Issued in IN
Practice address
155 Diplomat Dr
Suite C
Columbia City, IN 46725-1330
Phone
(260) 244-0264
NPI assigned
Mar 11, 2016
Last updated
Mar 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88000168A IN Primary

Addresses

Primary practice location

155 Diplomat Dr
Suite C
Columbia City, IN 46725-1330

Mailing address

155 Diplomat Dr
Suite C
Columbia City, IN 46725-1330
Phone (260) 244-0264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108004384 IN Practitioner - Mental Health Counselor 8527463314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Live Heal Grow Counseling ServicesGroup PAC ID 0547665325, 18 clinicians

Practice addresses (Care Compare)

360 N Oak St
Columbia City, IN 46725-1608
Phone (260) 244-0264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88000168AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Live Heal Grow Counseling Services Mental Health CurrentSince Jun 5, 2020 Accepting new patients
Jan C Boggs Inc PastSince Aug 30, 2017 Accepting new patients

Locations

360 N Oak St
Columbia City, IN 46725
Phone (260) 244-0238

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1912368465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 DIPLOMAT DR",
            "address_2": "SUITE C",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251330",
            "telephone_number": "260-244-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 DIPLOMAT DR",
            "address_2": "SUITE C",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251330",
            "telephone_number": "260-244-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIER",
        "first_name": "NICOLE",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88000168A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia City, IN

Sources for this page

Verify at the official NPI Registry.