Carly Nivison, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2017014931 Issued in MO

Practice address

91 Troy SQ Ste 101
Troy, MO 63379-3108

Phone

(888) 403-1071

NPI assigned

Jul 31, 2018

Last updated

Jun 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1942788138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 TROY SQ STE 101",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633793108",
            "telephone_number": "888-403-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIVISON",
        "first_name": "CARLY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2017014931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Neporadny
• Erin Nicole Niehoff, O.D.
• Jessica Elizabeth Niehoff, R.N., A.N.P
• Kayleigh Nissle
• Nitelife LLC (Janice Hoffmeyer)
• Amanda Kay Noah, FNP-BC
• Northland Hearing Centers, Inc. (Southwestern Hearing Center)
• Shannon Maire O'Driscoll-Douglas, LPC
• Robert Orell, DO
• Trenton Josheph Orf, DPT

• Mental Health Counselor in Troy, MO
• Providers in Troy, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.