MR. TIMOTHY I NICHOLSON PLPC
NPI 1629419437
Counselor - Professional in Saint Louis, MO

Active since July 09, 2013
1323 SULLIVAN AVE, SAINT LOUIS, MO 63107(314) 265-7014 Get Directions Write a Review

NPPES record last updated: July 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Timothy I Nicholson Plpc NPPES

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

MR. TIMOTHY I NICHOLSON PLPC (NPI 1629419437) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2012006798) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1629419437
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. TIMOTHY I NICHOLSONCredential: PLPC
Location Address1323 SULLIVAN AVESaint Louis, MO 63107-3919
Mailing Address1323 Sullivan AveSaint Louis, MO 63107-3919 · (314) 265-7014
Sole ProprietorYes
Enumeration DateJuly 9, 2013
NPI 1629419437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MO · 2012006798
1323 SULLIVAN AVE, Saint Louis, MO 63107

Other Providers at the Same Location NPPES 10

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

Counselor (Professional)
1323 SULLIVAN AVE
SAINT LOUIS, MO 63107
Counselor
1323 SULLIVAN AVE
SAINT LOUIS, MO 63107
Counselor
1323 SULLIVAN AVE
SAINT LOUIS, MO 63107
Counselor (Mental Health)
1323 SULLIVAN AVE
SAINT LOUIS, MO 63107
Counselor
1323 SULLIVAN AVE
SAINT LOUIS, MO 63107
Counselor
1323 SULLIVAN AVE
SAINT LOUIS, MO 63107
Counselor (Professional)
1323 SULLIVAN AVE
SAINT LOUIS, MO 63107
Counselor (Professional)
1323 SULLIVAN AVE
SAINT LOUIS, MO 63107

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 Timothy Nicholson's NPI number?

The NPI number for Timothy Nicholson is 1629419437. It was assigned to this individual provider in the NPPES registry on July 9, 2013.

Where is Timothy Nicholson located?

Timothy Nicholson practices at 1323 Sullivan Ave, Saint Louis, MO 63107. The listed phone number is (314) 265-7014.

What is Timothy Nicholson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Timothy Nicholson was last updated on July 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.