Individual provider Active NPI

Nicole Leigh Hurless, PHD, LPC

  • Mental Health Counselor
  • Fort Worth, TX
National Provider Identifier
1922854249
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88529 Issued in TX
Practice address
1801 N Riverside Dr
Fort Worth, TX 76111-2732
Phone
(806) 402-1163
NPI assigned
Apr 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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 88529 TX Primary

Addresses

Primary practice location

1801 N Riverside Dr
Fort Worth, TX 76111-2732

Mailing address

8217 Downe Dr
Fort Worth, TX 76108-3005
Phone (410) 920-4174

Other names 1

  • Dr. Nikki Hurless Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
88529TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1922854249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8217 DOWNE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761083005",
            "telephone_number": "410-920-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N RIVERSIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761112732",
            "telephone_number": "806-402-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLESS",
        "first_name": "NICOLE",
        "middle_name": "LEIGH",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "88529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "HURLESS",
            "prefix": "DR.",
            "credential": "PHD, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.