Active NPIIndividual provider

Mark T Nickels

Counselor, Mental Health in Ware, Massachusetts

NPI Number1124429840
Practice location
96 South St, Ware, Ware, MA 01082-1616
Fax
—
Last updated
December 11, 2023

Mark Thomas Nickels is a Counselor, Mental Health based in Ware, MA. Mark Thomas Nickels practices in Ware, MA. The NPI Number for Mark Thomas Nickels is 1124429840 and holds a License No. 11077 (MA). The current practice location address for Mark Thomas Nickels is 96 South St, Ware, Ware, MA 01082-1616 and can be reached out via phone at 413-967-6241.

Provider Profile Details

NPI Number
1124429840
Provider Name
Mark Thomas Nickels
Provider Entity Type
Individual
Gender
Male
Address
96 South St, Ware, Ware, MA 01082-1616
Phone Number
413-967-6241
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
September 12, 2014
Last Update Date
December 11, 2023
Certification Date
December 11, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
96 South St
Ware
Ware, MA 01082-1616
City
Ware
Zip
01082-1616
Phone Number
413-967-6241
Ware, MA 01082Get directions →

Provider Business Mailing Address Details

Address
96 South St
Ware
Ware, MA 01082-1616
City
Ware
State
MA
Zip
01082-1616

License Information

License Number
11077
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mark T Nickels?

The NPI number of Mark T Nickels is 1124429840. It was assigned on September 12, 2014 and is currently active in the NPPES registry.

What is the specialty of Mark T Nickels?

Mark T Nickels is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 11077.

Where does Mark T Nickels practice?

The practice location is 96 South St, Ware, Ware, MA 01082-1616. The office can be reached at 413-967-6241 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124429840 directly on the NPPES registry website.

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