Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICOLE DANIELLE TAVERA
NPI 1659285955
Counselor - Mental Health in Jeffersontown, KY

Active since October 01, 2026
9204 TAYLORSVILLE RD STE 215, JEFFERSONTOWN, KY 40299(267) 325-8796 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Nicole Danielle Tavera NPPES

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

NICOLE DANIELLE TAVERA (NPI 1659285955) is an individual mental health provider in Jeffersontown, Kentucky, licensed in Kentucky (311602) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1659285955
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE DANIELLE TAVERA
Location Address9204 TAYLORSVILLE RD STE 215Jeffersontown, KY 40299-1789
Mailing Address324 E Main St Unit 306Louisville, KY 40202-1288 · (267) 325-8796
Sole ProprietorNo
Enumeration DateOctober 1, 2026
NPPES CertifiedOctober 1, 2026
✔ NPI 1659285955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in KY · 311602
9204 TAYLORSVILLE RD STE 215, Jeffersontown, KY 40299

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 Tavera's NPI number?

The NPI number for Nicole Tavera is 1659285955. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Where is Nicole Tavera located?

Nicole Tavera practices at 9204 Taylorsville Rd Ste 215, Jeffersontown, KY 40299. The listed phone number is (267) 325-8796.

What is Nicole Tavera's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Tavera was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.