JENNIFER A NICHOLS LPC-IT SAC NPI 1871131482

NPI Information

NPI: 1871131482
Provider Name: JENNIFER A NICHOLS, LPC-IT, SAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
200 MASON ST STE 11
ONALASKA, WI
ZIP 54650
Phone: (608) 769-6784
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Jennifer A Nichols, LPC-IT, SAC is a professional counselor in Onalaska, WI. Jennifer A Nichols, LPC-IT, SAC NPI is 1871131482. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 MASON ST STE 11
ONALASKA, WI
ZIP 54650-061
Phone: (608) 769-6784

The enumeration date for this NPI number is 12/13/2019 and was last updated on 3/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	16360-131	WISCONSIN	No
2	101YP2500X	Counselor	Professional	4346-226	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4346-226	OTHER	WISCONSIN	STATE OF WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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