NICOLE BYRUM (NPI# 1851419758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851419758 |
| Entity Type | Individual |
| Full Name | NICOLE BYRUM |
| Credential | M.MFT |
| Practice Address |
100 Saw Mill Rd Lafayette IN 47905-5592 |
| Mailing Address |
300 Timber Trail Dr Apt. 308 Lafayette IN 47905-4666 |
| Practice Telephone | 7657424848 |
| Practice Fax Number | 7654779905 |
| Mailing Telephone | 3252807142 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100445230A | 05 |
| Street Address |
100 SAW MILL RD |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-5592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144327107 | Patricia M Thorn Kish | Social Worker | 100 Saw Mill Rd, Ste 3103, Lafayette, IN 47905-5592 | 2006-09-20 |
| 1265820393 | Harmony Counseling Center, LLC | Social Worker | 100 Saw Mill Rd, Suite 3103, Lafayette, IN 47905-5592 | 2014-12-23 |
| 1447514906 | Stephanie J Foltz | Counselor | 100 Saw Mill Rd, Suite 3200, Lafayette, IN 47905-5592 | 2012-06-29 |
| 1487918934 | Ashley J Belcher | Social Worker | 100 Saw Mill Rd, Suite 3200, Lafayette, IN 47905-5592 | 2012-06-29 |
| 1942516109 | Jennifer Soelke | Counselor | 100 Saw Mill Rd, Suite 3200, Lafayette, IN 47905-5592 | 2010-08-26 |
| 1063728475 | Karan Hustedt-warren | Counselor | 100 Saw Mill Rd, Suite 3200, Lafayette, IN 47905-5592 | 2010-08-23 |
| 1720394133 | Brooke Widmer | Social Worker | 100 Saw Mill Rd, Suite 3200, Lafayette, IN 47905-5592 | 2010-08-23 |
| 1982842928 | Mary Elizabeth Waltz | Counselor | 100 Saw Mill Rd, Suite 3200, Lafayette, IN 47905-5592 | 2009-01-29 |
| 1518105758 | Marsha La Baccam | Social Worker | 100 Saw Mill Rd, Suite 3200, Lafayette, IN 47905-5592 | 2009-01-26 |
| 1396981353 | Denise Marie Ackermann | Social Worker | 100 Saw Mill Rd, Suite 3200, Lafayette, IN 47905-5592 | 2008-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333649 | Wanda Kaye's Heart | Community/Behavioral Health | 139b James Comeaux Rd # 563, Lafayette, LA 70508-3255 | 2020-10-16 |
| 1376151969 | Revived and Renewed Mental Health, LLC | Community/Behavioral Health | 4400 Ambassador Caffery Pkwy Ste A167, Lafayette, LA 70508-6760 | 2020-07-20 |
| 1316422470 | The Family Connection Inc. | Community/Behavioral Health | 116 Natchitoches Dr, Lafayette, LA 70506-7876 | 2018-09-25 |
| 1477032910 | Capitol Care, Inc. | Community/Behavioral Health | 22 Old Beaver Run Rd, Lafayette, NJ 07848-2004 | 2018-08-07 |
| 1265941595 | Benjamin White Psychotherapy, Pllc | Community/Behavioral Health | 601 S Longmont Ave, Lafayette, CO 80026-1539 | 2017-09-29 |
| 1871023994 | Nancy Bass Texada | Community/Behavioral Health | 525 South Buchanan, Lafayette, LA 70501 | 2017-06-13 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1609237569 | K. Danielle Holmes, Lpc, LLC | Community/Behavioral Health | 143 Ridgeway Dr Ste 127, Lafayette, LA 70503-3414 | 2016-03-18 |
| 1588030571 | Chad Franks Counseling | Community/Behavioral Health | 143 Ridgeway Dr Ste 217, Lafayette, LA 70503-3410 | 2015-08-13 |
| 1497133508 | Mary F. Huval, Ncc, Lpc, LLC | Community/Behavioral Health | 850 Kaliste Saloom Rd Ste 204, Lafayette, LA 70508-4230 | 2015-05-08 |
| Find all providers in LAFAYETTE | ||||
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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.