Nichole A Williams, LMHC
Counselor, Mental Health in Bloomington, IN. Individual provider (NPI-1).
NPI number1407585367
StatusActive
Last updated in NPPESNov 27, 2024
Details
- NPI
- 1407585367
- Entity type
- Individual (NPI-1)
- Name
- Nichole A Williams
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2022
- Certification date
- Jun 7, 2022
- Last updated
- Nov 27, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- Medicare opt-out
- Oct 1, 2024 to Oct 1, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 39003462A | IN | Yes |
Practice location
3671 N Lauren LnBloomington, IN 47404-9206
Phone 317-508-7823
Mailing address
Po Box 62Ellettsville, IN 47429-0062
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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