Nina Corinne Nicolaides, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

62278 Issued in TX

Practice address

8703 Wurzbach Rd
San Antonio, TX 78240-1160

Phone

(210) 561-1516

Fax

(210) 561-1512

NPI assigned

Aug 26, 2008

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

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1932356482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13122 LA VENTANA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782335851",
            "telephone_number": "210-396-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 WURZBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401160",
            "telephone_number": "210-561-1516",
            "fax_number": "210-561-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAIDES",
        "first_name": "NINA",
        "middle_name": "CORINNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Phillips Nickerson
• Baron Tyrone Nickleberry, D.C.
• Cecilia Patrice Nickles, HIS
• Claire E. Nickson, OT
• Oleg Nicolaev, DDS
• Rochele Marie Nicolas-Wedige, FNP
• Marlo Magsanoc Nicolas, MD
• John Nicolau, M.D.
• Guy William Nicolette, MD
• Meher Nicolwala, DO

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.