1. Home
  2. Directory
  3. Texas
  4. Port Arthur
  5. Counselor
  6. NPI Profile

NICOLE LEE MACCALLUM LPC
NPI 1730521808
Counselor - Professional in Port Arthur, TX

Active since July 18, 2013
4934 ATLANTIC RD, PORT ARTHUR, TX 77642(409) 926-6732 Get Directions Write a Review

NPPES record last updated: July 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Lee Maccallum Lpc NPPES

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

NICOLE LEE MACCALLUM LPC (NPI 1730521808) is an individual professional provider in Port Arthur, Texas, licensed in Texas (68625) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1730521808
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE LEE MACCALLUMCredential: LPC
Location Address4934 ATLANTIC RDPort Arthur, TX 77642-0165
Mailing AddressPo Box 1728Groves, TX 77619-1728
Phone(409) 926-6732
Sole ProprietorYes
Enumeration DateJuly 18, 2013
✔ NPI 1730521808 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 TX · 68625
4934 ATLANTIC RD, Port Arthur, TX 77642
Open in Google Maps ↗

Other Names 1

Former Name (1)Nicole Lee Clark Lpc

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 Maccallum's NPI number?

The NPI number for Nicole Maccallum is 1730521808. It was assigned to this individual provider in the NPPES registry on July 18, 2013. The provider is also known as Nicole Lee Clark Lpc.

Where is Nicole Maccallum located?

Nicole Maccallum practices at 4934 Atlantic Rd, Port Arthur, TX 77642. The listed phone number is (409) 926-6732.

What is Nicole Maccallum'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 Nicole Maccallum was last updated on July 18, 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.