Dia Nicholson, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

NLC.0108720 Issued in CO

Practice address

3445 Penrose PL Ste 240
Boulder, CO 80301-1877

Phone

(303) 579-5471

NPI assigned

Apr 23, 2019

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1962066274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 PENROSE PL STE 240",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011877",
            "telephone_number": "303-579-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 PENROSE PL STE 240",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011877",
            "telephone_number": "303-579-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "DIA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC.0108720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Nichols, M.D. PH.D.
• Dena Marie Nichols, R.N.
• Jon Eric Nichols, M.A. LPC
• Roger D Nichols, M.D.
• Sara Gayle Nichols, PHARMD
• Sarah E Nicholson, LPCC
• Elliette Korrine Zantello Nickel
• Katherine Niedergeses
• Danielle Marie Niedermeier-Smith, M.S.W., L.C.S.W.
• Brian Lewis Niehaus, M.D.

• Mental Health Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.