Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE BASHAN LEWIS
NPI 1053847251
Counselor - Mental Health in Universal City, TX

Active since May 08, 2017PECOS Enrolled
221 3RD ST W BLDG 1040, UNIVERSAL CITY, TX 78150(210) 652-3505 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2026, Jul 29, 2026, Dec 20, 2024 and 1 more (4 updates tracked since 2017).

About Nicole Bashan Lewis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE BASHAN LEWIS (NPI 1053847251) is an individual mental health provider in Universal City, Texas, licensed in Indiana (390041014A) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1053847251
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE BASHAN LEWIS
Location Address221 3RD ST W BLDG 1040Universal City, TX 78150-4800
Mailing Address613 Wildcat RunCibolo, TX 78108-3495 · (219) 789-3223
Sole ProprietorYes
Enumeration DateMay 8, 2017
Last NPPES UpdateAugust 11, 20264 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
NPI 1053847251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in IN · 390041014A Licensed in IL · 180014935 Licensed in TX · 93611
221 3RD ST W BLDG 1040, Universal City, TX 78150

Secondary Practice Locations 3

Location 1613 Wildcat RunCibolo, TX 78108-3495 · Phone (219) 789-3423
Location 25241 Fountain DrCrown Point, IN 46307-5323 · Phone (219) 789-3423
Location 3912 Alta DrValparaiso, IN 46385-8562 · Phone (219) 789-3423

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole Bashan Lewis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
Social Worker (Clinical)
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
Physician Assistant
221 3RD ST W BLDG 1040
RANDOLPH AFB, TX 78150
Family Medicine
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
Nurse Practitioner (Women's Health)
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
Family Medicine
221 3RD ST W BLDG 1040
RANDOLPH AFB, TX 78150
Social Worker (Clinical)
221 3RD ST W BLDG 1040
JBSA RANDOLPH, TX 78150
Physical Therapist (Orthopedic)
221 3RD ST W BLDG 1040
UNIVERSAL CITY, TX 78150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Lewis's NPI number?

The NPI number for Nicole Lewis is 1053847251. It was assigned to this individual provider in the NPPES registry on May 8, 2017.

Where is Nicole Lewis located?

Nicole Lewis practices at 221 3rd St W Bldg 1040, Universal City, TX 78150. The listed phone number is (210) 652-3505.

What is Nicole Lewis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicole Lewis enrolled in Medicare?

Yes. Nicole Lewis is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Lewis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter from Meridian and 1 other insurer list Nicole Lewis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Lewis was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.