RAQUEL RENEE NICHOLSON LCAS-A
NPI 1124748835
Counselor - Addiction (Substance Use Disorder) in Greenville, NC

Q: What is Raquel Nicholson's NPI number?

The NPI number for Raquel Nicholson is 1124748835. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Q: What is Raquel Nicholson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Raquel Nicholson was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since September 01, 2022

PORT HEALTH SERVICES, 4300-110 SAPPHIRE COURT, GREENVILLE, NC 27834(252) 752-0483 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Raquel Renee Nicholson Lcas-a NPPES

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

RAQUEL RENEE NICHOLSON LCAS-A (NPI 1124748835) is an individual addiction (substance use disorder) provider in Greenville, North Carolina, licensed in North Carolina (LCAS-28336) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1124748835

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameRAQUEL RENEE NICHOLSONCredential: LCAS-A

Location AddressPORT HEALTH SERVICES, 4300-110 SAPPHIRE COURTGreenville, NC 27834

Mailing Address4641 Boyds RdGrimesland, NC 27837-8930 · (252) 939-0476

Phone(252) 752-0483

Sole ProprietorNo

Enumeration DateSeptember 1, 2022

NPPES CertifiedAugust 30, 2022

✔ NPI 1124748835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NC · LCAS-28336

PORT HEALTH SERVICES, Greenville, NC 27834

Open in Google Maps ↗

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 Raquel Nicholson's NPI number?

The NPI number for Raquel Nicholson is 1124748835. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Where is Raquel Nicholson located?

Raquel Nicholson practices at Port Health Services 4300-110 Sapphire Court, Greenville, NC 27834. The listed phone number is (252) 752-0483.

What is Raquel Nicholson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Raquel Nicholson was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.