DEBRA JEAN NICHOLSON (NPI# 1194287797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194287797 |
Entity Type | Individual |
Full Name | DEBRA JEAN NICHOLSON |
Credential | CADC |
Practice Address |
11 Circle Ave Lynn MA 01905-3050 |
Practice Telephone | 7818364054 |
Mailing Telephone | 7818364054 |
Enumeration Date | 2019-04-02 |
Last Update Date | 2019-06-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1513AD | MA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245429083 | Debra E Nicholson | Registered Nurse | 3024 Nw Lawrence Ct, Bend, OR 97701-5649 | 2007-10-17 |
Street Address |
11 CIRCLE AVE |
City | LYNN |
State | MA |
Zip Code | 01905-3050 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972655082 | Sarah Elizabeth Pellini | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2007-01-17 |
1578181129 | Patricia Ann Marino | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2020-07-10 |
1588206403 | Kimberly Ann Abisso | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-10-11 |
1689216814 | Hillary Coughlin | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-10-09 |
1619525615 | Sarah Goldberg | Social Worker | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-09-03 |
1750938940 | Richard Louis Thibault Jr. | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-08-22 |
1124670617 | Elizabeth Kelley | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-07-15 |
1386200129 | Cindi M Mumbauer | Registered Nurse | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-05-17 |
1477118792 | Michael Andrew Priestman | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-05-02 |
1013472182 | Kristen Congelosi | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-02-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437783560 | Annie Marie Helmkamp | Nurse Practitioner | Ati Worksite Solutions, Ge Aviation, 1000 Western Avenue, Lynn, MA 01905 | 2020-02-27 |
1215419395 | Bridget Depoy | Social Worker | Fallon School, 100 Robinson St., Lynn, MA 01905 | 2018-09-05 |
1093294845 | Tina Hoofnagle | Social Worker | 100 Bennett Street, Lynn, MA 01905 | 2018-08-13 |
1740768704 | Tamba-kromah Ventures LLC | Non-emergency Medical Transport (VAN) | 29 Dungeon Ave, Lynn, MA 01905 | 2018-08-01 |
1275068637 | Gina Hart | Counselor | 29 Pennybrook Rd, Lynn, MA 01905 | 2017-04-24 |
1235593773 | Daniel Burke | Physician Assistant | 1000 Western Ave Bldg 44, Lynn, MA 01905 | 2016-04-11 |
1366825374 | Humble Care Givers | Technician | 15 River Street Place, Lynn, MA 01905 | 2015-07-08 |
1861815649 | Krystle Lee Concepcion | Occupational Therapist | 9 Needhams Landing Road Apt. 401, Lynn, MA 01905 | 2014-01-29 |
1134497423 | Rachel Tami Davis | Social Worker | 800 Cummings Ctr Suite 266 T, Beverly, MA 01905 | 2011-12-01 |
1043534316 | Eh Moo Htoo | Counselor | 447 Summer St, Apt 1, Lynn, MA 01905 | 2010-03-16 |
Find all providers in zip 01905 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275068637 | Gina Hart | Counselor | 29 Pennybrook Rd, Lynn, MA 01905 | 2017-04-24 |
1306387444 | Daniel Ginivan | Counselor | 382 Walnut St, Lynn, MA 01905-1180 | 2017-03-08 |
1225586167 | Dennis Romero | Counselor | 119 Henry Ave Apt 3, Lynn, MA 01902-3715 | 2016-09-21 |
1528366028 | Eric R Suranski | Counselor | 280 Union St Ste 2, Lynn, MA 01901-1355 | 2011-03-08 |
1831325240 | Kristen Cejka | Counselor | 181 Union Street, Project Cope Inc, Lynn, MA 01902 | 2009-06-01 |
1629216890 | Eileen Marie Walsh | Counselor | Eliot Communtiy Human Services 95 Pleasant St, Lynn, MA 01901-1524 | 2009-01-27 |
1477726404 | Beverly Mae Clarke | Counselor | 181 Union St Ste B, Lynn, MA 01901-1310 | 2008-04-10 |
1699955385 | Sara Michelle Pernice | Counselor | 43 Carolyn Rd, Lynn, MA 01905-3005 | 2007-11-09 |
1114139524 | Kevin Francis Rogers | Counselor | 3 Clough St, Lynn, MA 01902-2609 | 2007-05-06 |
1528287224 | Michael Vincent Lozzi | Counselor | 302 Den Quarry Rd, Lynn, MA 01904-1323 | 2007-04-24 |
Find all providers in LYNN |
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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.