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EDIE NICHOLSON PCMHT
NPI 1295507879
Counselor in Ellisville, MS

Active since October 26, 2023
5192 HIGHWAY 11 N, ELLISVILLE, MS 39437(601) 649-7921 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edie Nicholson Pcmht NPPES

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

EDIE NICHOLSON PCMHT (NPI 1295507879) is an individual counselor in Ellisville, Mississippi, licensed in Mississippi (6059) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1295507879
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameEDIE NICHOLSONCredential: PCMHT
Location Address5192 HIGHWAY 11 NEllisville, MS 39437-5050
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901
Phone(601) 649-7921
Sole ProprietorNo
Enumeration DateOctober 26, 2023
NPPES CertifiedOctober 26, 2023
✔ NPI 1295507879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MS · 6059
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.
5192 HIGHWAY 11 N, Ellisville, MS 39437
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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.

LEIGHANNE KITTRELL
Counselor
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
DANIELLE PORTER PCMHT
Counselor (Mental Health)
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 425-3439
DENICKA JONES
Registered Nurse
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
FAMILY HEALTH CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 425-3033
ANITRA POSEY LPN
Licensed Practical Nurse
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
ADAM BRENNER
Registered Nurse
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
SHEILA VICKERS IDD WAIVER SERVICES
Day Training/Habilitation Specialist
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 649-7921
NANCY KEYS
Counselor (Mental Health)
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437
Jones County (601) 779-2487

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 Edie Nicholson's NPI number?

The NPI number for Edie Nicholson is 1295507879. It was assigned to this individual provider in the NPPES registry on October 26, 2023.

Where is Edie Nicholson located?

Edie Nicholson practices at 5192 Highway 11 N, Ellisville, MS 39437. The listed phone number is (601) 649-7921.

What is Edie 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 Edie Nicholson was last updated on October 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.