Nicole Adams, LMHC
Individual provider Active NPI Professional Counselor · Gautier, MS
NPI 1992196034 · NPPES record last updated Jun 29, 2016
Key facts
- NPI
- 1992196034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0177821 (NM)
- Practice address
- 3407 Shamrock CT
Gautier, MS 39553-5337 - Phone
- (228) 497-0690
- NPI assigned
- Feb 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0177821 | NM | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0177821 | NM | Yes |
| Mental Health Counselor | 101YM0800X | 0177821 | NM |
Addresses
Primary practice location
3407 Shamrock CT
Gautier, MS 39553-5337
Mailing address
3407 Shamrock CT
Gautier, MS 39553-5337
Phone (228) 497-0690
Other providers in Gautier, MS
- Sara Jane Adair
- Jessica Letric Alford
- Larisa Alfsen
- Jamie Kristen Allen
- Amedisys Mississippi, LLC
- Venus Lacy Amezcua
All providers in Gautier, MS · Professional Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.