MICHAEL NICCOLS JR. (NPI# 1376028415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376028415 |
| Entity Type | Individual |
| Full Name | MICHAEL NICCOLS JR. |
| Practice Address |
630 Cherry Tree Ln Uniontown PA 15401-8947 |
| Practice Telephone | 7244390308 |
| Mailing Telephone | 7244390308 |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
630 CHERRY TREE LN |
| City | UNIONTOWN |
| State | PA |
| Zip Code | 15401-8947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392910 | Ashley Moore | Counselor | 630 Cherry Tree Ln, Uniontown, PA 15401-8947 | 2020-07-02 |
| 1184283376 | Brittany Ann Vihlidal | Counselor | 630 Cherry Tree Ln, Uniontown, PA 15401-8947 | 2019-06-11 |
| 1649745498 | Tiffanie Lynn Taylor | Nurse Practitioner | 630 Cherry Tree Ln, Uniontown, PA 15401-8947 | 2018-10-09 |
| 1619452992 | Kelly Bayles | Registered Nurse | 630 Cherry Tree Ln, Uniontown, PA 15401-8947 | 2018-10-02 |
| 1609351402 | Christine Ann Rosinski-stone | Counselor | 630 Cherry Tree Ln, Uniontown, PA 15401-8947 | 2018-09-27 |
| 1679057871 | Chelsea Faris | Counselor | 630 Cherry Tree Ln, Uniontown, PA 15401-8947 | 2018-09-24 |
| 1326524992 | Lindsey Peden | Counselor | 630 Cherry Tree Ln, Uniontown, PA 15401-8947 | 2018-07-17 |
| 1811488380 | Michael Daugherty | Counselor | 630 Cherry Tree Ln, Uniontown, PA 15401-8947 | 2018-05-21 |
| 1598254740 | Patrick Glenn Kelly | Counselor | 630 Cherry Tree Ln, Uniontown, PA 15401-8947 | 2018-05-03 |
| 1699278663 | Jessica Brissel | Counselor | 630 Cherry Tree Ln, Uniontown, PA 15401-8947 | 2018-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811541808 | Kevin C Kutchman | Physical Medicine & Rehabilitation | 15 Morgantown Street, Uniontown, PA 15401 | 2019-07-28 |
| 1316502958 | Rosalia Friess | Occupational Therapist | 147 Lafayette Street, Uniontown, PA 15401 | 2019-05-09 |
| 1801369012 | Jill Cristen Bellush | Occupational Therapy Assistant | Lafayette Manor, Inc, 147 Lafayette Manor Road, Uniontown, PA 15401 | 2019-01-10 |
| 1679054183 | Wellness Recovery LLC | Counselor | 9-11 Veech St., Uniontown, PA 15401 | 2018-08-23 |
| 1851802185 | Young Men's Christian Association of Uniontown | Health Educator | One Ymca Drive, Uniontown, PA 15401 | 2017-10-13 |
| 1942730759 | Michele Dice | Social Worker | 89 W. Fayette Street, Uniontown, PA 15401 | 2017-06-14 |
| 1427593425 | Revital Metro | Counselor | 1203 Pittsburgh Road, Suite 101, Uniontown, PA 15401 | 2016-12-29 |
| 1366987729 | Michelle Carolla | Physician Assistant | 141 Wayland Smith Drive, Uniontown, PA 15401 | 2016-12-21 |
| 1558805176 | Samantha Helmantoler | Counselor | 1023 Pittsburgh Road, Uniontown, PA 15401 | 2016-12-16 |
| 1639527351 | Fayette Resources, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Millennium Drive Suite 2, Uniontown, PA 15401 | 2016-06-03 |
| Find all providers in zip 15401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679054183 | Wellness Recovery LLC | Counselor | 9-11 Veech St., Uniontown, PA 15401 | 2018-08-23 |
| 1427593425 | Revital Metro | Counselor | 1203 Pittsburgh Road, Suite 101, Uniontown, PA 15401 | 2016-12-29 |
| 1558805176 | Samantha Helmantoler | Counselor | 1023 Pittsburgh Road, Uniontown, PA 15401 | 2016-12-16 |
| 1437693322 | Amy Jo Johnson | Counselor | 1023 Pittsburgh Rd Ste 101, Uniontown, PA 15401-8951 | 2016-12-12 |
| 1922476852 | Alexis Caromano | Counselor | 408 Joanne Ln, Uniontown, PA 15401-3957 | 2015-09-09 |
| 1154603827 | Anna Deeds | Counselor | 140 North Beeson Avenue, Suite 401, Uniontown, PA 15401-2937 | 2011-09-19 |
| 1174805170 | Jolene Loncaric | Counselor | 100 Salem Road, Ste 106, Uniontown, PA 15401 | 2011-09-15 |
| 1992008189 | Lisa Dean | Counselor | 1023 Pittsburgh Rd Ste 109, Uniontown, PA 15401-8951 | 2010-12-10 |
| 1851372403 | Fayette Co. Drug & Alcohol Commission, Inc. | Counselor | 100 New Salem Rd, Suite 106, Uniontown, PA 15401-8936 | 2005-11-10 |
| 1801408455 | Andrena Billette Daniels | Counselor | 100 New Salem Rd Ste 106, Uniontown, PA 15401-8936 | 2020-08-17 |
| Find all providers in UNIONTOWN | ||||
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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.