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REBECCA ANN NICKERSON
NPI 1831966514
Counselor - Mental Health in Woodbridge, VA

Active since December 04, 2023
ELLIE MENTAL HEALTH SERVICES, 4001 PRINCE WILLIAM PARKWAY, WOODBRIDGE, VA 22192(703) 688-8541 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rebecca Ann Nickerson NPPES

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

REBECCA ANN NICKERSON (NPI 1831966514) is an individual mental health provider in Woodbridge, Virginia and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1831966514
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameREBECCA ANN NICKERSON
Location AddressELLIE MENTAL HEALTH SERVICES, 4001 PRINCE WILLIAM PARKWAYWoodbridge, VA 22192
Mailing Address2801 S Columbus StArlington, VA 22206-1410 · (202) 617-1680
Phone(703) 688-8541
Sole ProprietorYes
Enumeration DateDecember 4, 2023
NPPES CertifiedDecember 3, 2023
✔ NPI 1831966514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
ELLIE MENTAL HEALTH SERVICES, Woodbridge, VA 22192
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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 Rebecca Nickerson's NPI number?

The NPI number for Rebecca Nickerson is 1831966514. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Where is Rebecca Nickerson located?

Rebecca Nickerson practices at Ellie Mental Health Services 4001 Prince William Parkway, Woodbridge, VA 22192. The listed phone number is (703) 688-8541.

What is Rebecca Nickerson'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 Rebecca Nickerson was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.