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NICHOLL OLIVARES RODRIGUEZ PPC
NPI 1740898303
Counselor in Jackson, WY

Active since July 20, 2020
140 E BROADWAY AVE # B-13, JACKSON, WY 83001(307) 413-6528 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholl Olivares Rodriguez Ppc NPPES

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

NICHOLL OLIVARES RODRIGUEZ PPC (NPI 1740898303) is an individual counselor in Jackson, Wyoming, licensed in Wyoming (PPC-1196) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1740898303
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameNICHOLL OLIVARES RODRIGUEZCredential: PPC
Location Address140 E BROADWAY AVE # B-13Jackson, WY 83001-8632
Mailing Address825 Hi Country DrJackson, WY 83001-9442 · (307) 699-4865
Phone(307) 413-6528
Sole ProprietorNo
Enumeration DateJuly 20, 2020
NPPES CertifiedJuly 20, 2020
✔ NPI 1740898303 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 WY · PPC-1196
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.
140 E BROADWAY AVE # B-13, Jackson, WY 83001
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Other Providers at the Same Location NPPES 2

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

JOSE GUILLERMO RIVAS PPC
Counselor (Mental Health)
140 E BROADWAY AVE # B-13
JACKSON, WY 83001
Teton County (307) 413-6528
LA FAMILIA COUNSELING SERVICES
Interpreter
140 E BROADWAY AVE # B-13
JACKSON, WY 83001
Teton County (307) 413-6528

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 Nicholl Olivares Rodriguez's NPI number?

The NPI number for Nicholl Olivares Rodriguez is 1740898303. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Nicholl Olivares Rodriguez located?

Nicholl Olivares Rodriguez practices at 140 E Broadway Ave # B-13, Jackson, WY 83001. The listed phone number is (307) 413-6528.

What is Nicholl Olivares Rodriguez'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 Nicholl Olivares Rodriguez was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.