MEGAN S NICKLESS


Address: 205 N College Ave Ste 613, Bloomington, IN 47404-3956
Phone: 8122979750

MEGAN S NICKLESS (NPI# 1477990059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477990059
Entity Type Individual
Full Name MEGAN S NICKLESS
Credential MS
Practice Address 205 N College Ave Ste 613
Bloomington
IN 47404-3956
Practice Telephone 8122979750
Mailing Telephone 8122979750
Enumeration Date 2013-05-23
Last Update Date 2019-02-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 205 N COLLEGE AVE STE 613
City BLOOMINGTON
State IN
Zip Code 47404-3956

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386288546 Brandt Badger LLC Clinic/Center 205 N College Ave Ste 613, Bloomington, IN 47404-3956 2019-10-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013526631 Sandra Clark Counselor 205 N College Avenue, Suite 210a, Bloomington, IN 47404 2020-07-29
1750926085 Michelle Christine Dustin Nurse Practitioner 610 N Morton Street, Bloomigton, IN 47404 2019-11-11
1316440191 Julie D'argent Psychologist 205 N College Ave Ste 430, Bloomington, IN 47404 2018-03-17
1770966467 Richard Lawson Counselor 1117 North Jackson Street, Bloomington, IN 47404 2015-06-30
1477952109 Teresa R. Foster Social Worker 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 2014-08-19
1073879532 First Health Plus, Inc Clinic/Center 104 North Curry Pike, Bloomington, IN 47404 2012-04-09
1497079982 Tera Dee Nance Counselor 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 2010-03-26
1962643114 Pathways Counseling Center Community/Behavioral Health 3866 W. Third Street, Bloomington, IN 47404 2009-03-18
1932358595 Catherine Elizabeth Batka Psychologist 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 2008-09-18
1396901005 Kijin Woo Dentist 330 N Jacob Drive, Bloomington, IN 47404 2008-08-01
Find all providers in zip 47404

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023630357 Janice Bush Counselor 909 W Olive St, Bloomington, IL 61701-4962 2020-05-08
1457986556 Jon Brookson Engfer Counselor 8609 Lyndale Avenue South, Bloomington, MN 55420 2020-03-09
1346883501 Christine Lee Garwick-foley Counselor 10032 Quebec Ave S, Bloomington, MN 55438-2126 2019-10-21
1558786392 Valerie Colleen Parker Counselor 109 W. Mulberry St., Bloomington, IL 61701 2014-03-04
1427329143 Jared Brent Bostrom Counselor 1100 E 80th St, Bloomington, MN 55420-1426 2012-01-26
1437438181 Walter Lawrence Campbell Counselor 600 N. Jordan Ave, Bloomington, IN 47405 2011-08-12
1720376221 Jamie Laurson Counselor 702 W. Chestnut Street, Bloomington, IL 61701 2011-07-18
1396054037 Carrie Ann Lawrence Counselor 6666 S Old State Road 37, Bloomington, IN 47401-8912 2010-09-29
1558691998 Robarn Danzman Counselor 221 E Kirkwood Ave, Suite 5, Bloomington, IN 47408-3559 2010-01-07
1447486287 Grief Unique, LLC Counselor 1111 N Walnut St, Bloomington, IN 47404-3563 2009-06-08
Find all providers in BLOOMINGTON

Competitor

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City BLOOMINGTON
Zip Code 47404

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Dataset Information

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.

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