LISA NICHOLS (NPI# 1548773930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548773930 |
| Entity Type | Individual |
| Full Name | LISA NICHOLS |
| Credential | LPC |
| Practice Address |
275 Riverview Ave Shelton CT 06484-0648 |
| Mailing Address |
275 Riverview Ave Shelton CT 06484-2215 |
| Practice Telephone | 2033058854 |
| Practice Fax Number | 2033058854 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1250 Silver St, Middletown, CT 064573946 | 8603460300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942471917 | Lisa H Nichols | Social Worker | 216 Sailors Dr Ste 131, Ellijay, GA 30540-3747 | 2008-03-18 |
| 1821278466 | Lisa Marie Nichols | Counselor | 1408 W. Abram, Suite 107, Arlington, TX 76013 | 2007-11-12 |
| 1801930334 | Lisa Kay Nichols | Registered Nurse | 721 65th St N, St Petersburg, FL 33710-6935 | 2007-02-17 |
| 1568933042 | Lisa Nichols | Case Manager/Care Coordinator | 1109 Carter St Ste 8, Vidalia, LA 71373-3227 | 2018-12-10 |
| 1063872109 | Lisa M Nichols | Nurse Practitioner | 407 W Indiana Ave, Chesterton, IN 46304-2350 | 2016-03-02 |
| 1376924746 | Lisa Nichols | Specialist/Technologist | 1220 W Wheeler Pkwy, Augusta, GA 30909-6625 | 2015-06-11 |
| 1801142310 | Lisa Faye Nichols | Physical Therapy Assistant | 731 Leighton Ave, Anniston, AL 36207-5761 | 2012-08-02 |
| 1982902144 | Lisa Nichols | Speech-Language Pathologist | 301 Ne Tudor Rd, Lees Summit, MO 64086-5702 | 2011-03-11 |
| 1932421211 | Lisa Marie Nichols | Pharmacist | 4950 W 23rd St, Erie, PA 16506-5802 | 2010-02-27 |
| 1821134016 | Lisa Marie Nichols | Case Manager/Care Coordinator | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2007-01-29 |
| Street Address |
275 RIVERVIEW AVE |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-0648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066926 | Kristin Rice | Counselor | 109 Heather Rdg, Shelton, CT 06484-4644 | 2019-07-30 |
| 1891202214 | Lauren Osso | Counselor | 89 Okenuck Way, Shelton, CT 06484-6509 | 2018-01-08 |
| 1841672771 | Stewart Remele | Counselor | 41 Little Fox Run, Shelton, CT 06484-1664 | 2015-06-27 |
| 1285717769 | Andrew J. Kass | Counselor | 731c Bridgeport Ave, Shelton, CT 06484-4704 | 2006-10-20 |
| 1205378684 | Lyn Fox | Counselor | 25 Church St, Shelton, CT 06484-5802 | 2016-11-16 |
| 1992123848 | Christina A Thompson | Counselor | 30 Controls Dr, Shelton, CT 06484-6157 | 2014-03-28 |
| 1336468263 | Joan Gary Clark | Counselor | 100 Se Whitener Rd, Shelton, WA 98584-7747 | 2010-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225013 | Madison Kathleen Reimondo | Counselor | 185 Silas Deane Hwy Ste 2, Wethersfield, CT 06109-1219 | 2020-11-06 |
| 1336740935 | Art Therapy Explorations LLC | Counselor | 23 Temple St, New Haven, CT 06510-2714 | 2020-11-02 |
| 1992303853 | Steps Counseling LLC | Counselor | 182 Candlewyck Dr, Newington, CT 06111-5229 | 2020-10-13 |
| 1578170965 | Elizabeth Ferguson | Counselor | 183 Montowese St Ste G, Branford, CT 06405-3869 | 2020-09-29 |
| 1912514605 | Well Beyond Counseling Pllc | Counselor | 2 Tunxis Rd Ste 201, Tariffville, CT 06081-9687 | 2020-09-26 |
| 1033725510 | Bianca Mcdaniel | Counselor | 1652 Meriden Rd Apt 22, Waterbury, CT 06705-3922 | 2020-09-20 |
| 1639784358 | Laura Sanford | Counselor | 107 Godek Hill Rd, Meriden, CT 06451-5081 | 2020-09-10 |
| 1669086799 | Berry Family Psychotherapy, LLC | Counselor | 27 White Rd, Middletown, CT 06457-2321 | 2020-09-05 |
| 1548874092 | Catherine Kimball | Counselor | 386 Cotton Hill Rd, New Hartford, CT 06057-3402 | 2020-09-02 |
| 1871106674 | Mindful Vision Counseling | Counselor | 304 W Main St Ste 21057, Avon, CT 06001-4355 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
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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.