Active NPI
Rachel Ann Nichols, LPC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1972816585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13282
- Practice address
- 202 E Locust St
San Antonio, TX 78212-3954 - Phone
- (210) 857-4508
- NPI assigned
- Jul 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13282 | TX | Primary |
Addresses
Primary practice location
202 E Locust St
San Antonio, TX 78212-3954
Mailing address
3110 Laura Lee Way
San Antonio, TX 78223-4809
Phone (210) 857-4508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 10, 2024 through Jun 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13282 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393804800000",
"number": "1972816585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 LAURA LEE WAY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782234809",
"telephone_number": "210-857-4508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 E LOCUST ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782123954",
"telephone_number": "210-857-4508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "RACHEL",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-23",
"last_updated": "2014-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "13282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.