TIERRA NICHOLSON AAS
NPI 1073474854
Counselor in Alton, IL

Active since November 20, 2025
2615 EDWARDS ST, ALTON, IL 62002(618) 462-2331(618) 462-2504 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tierra Nicholson Aas NPPES

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

TIERRA NICHOLSON AAS (NPI 1073474854) is an individual counselor in Alton, Illinois and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1073474854
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTIERRA NICHOLSONCredential: AAS
Location Address2615 EDWARDS STAlton, IL 62002-3915
Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 326-2772 · Fax (618) 937-1440
Fax(618) 462-2504
Sole ProprietorNo
Enumeration DateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
NPI 1073474854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2615 EDWARDS ST, Alton, IL 62002

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.

Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Counselor
2615 EDWARDS ST
ALTON, IL 62002
Counselor
2615 EDWARDS ST
ALTON, IL 62002
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Counselor
2615 EDWARDS ST
ALTON, IL 62002
Counselor (Professional)
2615 EDWARDS ST
ALTON, IL 62002

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 Tierra Nicholson's NPI number?

The NPI number for Tierra Nicholson is 1073474854. It was assigned to this individual provider in the NPPES registry on November 20, 2025.

Where is Tierra Nicholson located?

Tierra Nicholson practices at 2615 Edwards St, Alton, IL 62002. The listed phone number is (618) 462-2331.

What is Tierra Nicholson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tierra Nicholson was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.