NICHOLAS ALEXANDER LEE (NPI# 1124215777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124215777 |
| Entity Type | Individual |
| Full Name | NICHOLAS ALEXANDER LEE |
| Credential | LMFT |
| Practice Address |
1904 W Royale Dr Muncie IN 47304-2264 |
| Practice Telephone | 7652840043 |
| Practice Fax Number | 7652844112 |
| Mailing Telephone | 7652840043 |
| Mailing Fax Number | 7652844112 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2014-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 35001667A | IN | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538231097 | Nicholas Quoc Lee | Dentist | 2535 Firewheel Pkwy Ste 500, Garland, TX 75040-2896 | 2006-11-13 |
| 1891300646 | Nicholas Lee | Counselor | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2020-09-09 |
| 1497301618 | Nicholas Lee | Occupational Therapist | 3100 Shore Dr, Virginia Beach, VA 23451-1199 | 2019-08-13 |
| 1821654245 | Nicholas Lee | Chiropractor | 20772 Holyoke Ave, Lakeville, MN 55044-9824 | 2019-05-10 |
| 1942769096 | Nicholas Chien-juei Lee | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2019-03-18 |
| 1689092140 | Nicholas Lee | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, City Tower, Suite 400, Orange, CA 92868-3201 | 2014-04-02 |
| 1275804999 | Nicholas Michael Lee | Military Health Care Provider | 34101 Farenholt Ave, San Diego, CA 92134-7000 | 2012-01-26 |
| 1942597216 | Nicholas Matthew Lee | Social Worker | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2011-07-06 |
| 1518176676 | Nicholas Lee | Counselor | 5777 Madison Ave Ste 240, Sacramento, CA 95841-3308 | 2007-05-22 |
| 1275685422 | Nicholas Lee | Counselor | W20298 State Road 121, Whitehall, WI 54773-9685 | 2007-01-17 |
| Street Address |
1904 W ROYALE DR |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-2264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699893883 | Beth A. Trammell | Psychologist | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2007-03-26 |
| 1164039186 | Dana Elaine Thomas | Counselor | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2020-09-24 |
| 1619582624 | Ericka Kelley | Counselor | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2020-09-15 |
| 1134771157 | Paulina Wojtach | Counselor | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2019-07-10 |
| 1629633953 | Cassandra Ellen Reidt | Counselor | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2019-05-02 |
| 1457848459 | Ashley Lynn Boester-dean | Psychologist | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2018-04-16 |
| 1366950891 | Jamie L Pereira | Counselor | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2018-01-18 |
| 1861845927 | Abigail Hove | Counselor | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2016-07-13 |
| 1568826154 | Abby Nethaway | Psychologist | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2016-04-08 |
| 1942603394 | Sarah E Conway | Counselor | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2014-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1154626190 | Demetria Michelle Jackson | Marriage & Family Therapist | 708 W White River Blvd, Muncie, IN 47303-3866 | 2011-01-24 |
| 1629421672 | Brenda Wilson-graham | Marriage & Family Therapist | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2016-07-14 |
| 1114295367 | Laura Ann Inniger | Marriage & Family Therapist | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2011-12-02 |
| 1154651644 | Richard D Carr | Marriage & Family Therapist | 4622 N Broadway Ave, Muncie, IN 47303-1083 | 2010-01-05 |
| 1487789319 | Maria Oneide Willey | Marriage & Family Therapist | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
| 1205440112 | Vanessa Renee Smith Mccullough | Marriage & Family Therapist | 12645 Teacup Way, Indianapolis, IN 46235-6115 | 2020-09-08 |
| 1396362919 | Briana N Roberts | Marriage & Family Therapist | 2021 E 84th St Apt 2b, Merrillville, IN 46410-8305 | 2020-06-30 |
| 1023634508 | Stephanie Bagato | Marriage & Family Therapist | 6411 S East St Ste A, Indianapolis, IN 46227-2737 | 2020-06-22 |
| 1093330920 | Ann Marie Ravenna | Marriage & Family Therapist | 54 N 9th St Ste 254, Noblesville, IN 46060-2208 | 2020-06-16 |
| 1770107435 | Lauren Salazar | Marriage & Family Therapist | 54 N 9th St Ste 230, Noblesville, IN 46060-2208 | 2020-05-28 |
| 1437785060 | Crystal Jessee | Marriage & Family Therapist | 7230 Arbuckle Cmns Ste 239, Brownsburg, IN 46112-1797 | 2020-03-16 |
| 1598391104 | Michele Prible | Marriage & Family Therapist | 819 E 64th St Ste 238, Indianapolis, IN 46220-6609 | 2020-03-15 |
| 1487287371 | Fort Wayne Counseling Services | Marriage & Family Therapist | 6319 Mutual Dr Ste F, Fort Wayne, IN 46825-4246 | 2020-02-19 |
| 1659929230 | Ashlyn Douthitt | Marriage & Family Therapist | 435 E Main St Ste 100, Greenwood, IN 46143-1454 | 2019-08-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.