Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

IMOGEN KIERAN NICHOLAS
NPI 1851219398
Counselor - Mental Health in Clinton, MS

Active since July 09, 2026
604 HIGHWAY 80 W STE R, CLINTON, MS 39056(601) 473-2106 Get Directions Write a Review

NPPES record added: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imogen Kieran Nicholas NPPES

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

IMOGEN KIERAN NICHOLAS (NPI 1851219398) is an individual mental health provider in Clinton, Mississippi and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1851219398
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameIMOGEN KIERAN NICHOLAS
Location Address604 HIGHWAY 80 W STE RClinton, MS 39056-4108
Mailing Address7 Treeway DrBrandon, MS 39042-2301 · (615) 967-7726
Sole ProprietorYes
Enumeration DateJuly 9, 2026
NPPES CertifiedJuly 9, 2026
NPI 1851219398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
604 HIGHWAY 80 W STE R, Clinton, MS 39056

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
604 HIGHWAY 80 W STE R
CLINTON, MS 39056
Counselor (Professional)
604 HIGHWAY 80 W STE R
CLINTON, MS 39056
Counselor (Mental Health)
604 HIGHWAY 80 W STE R
CLINTON, MS 39056
Case Manager/Care Coordinator
604 HIGHWAY 80 W STE R
CLINTON, MS 39056
Counselor (Professional)
604 HIGHWAY 80 W STE R
CLINTON, MS 39056
Counselor (Professional)
604 HIGHWAY 80 W STE R
CLINTON, MS 39056
Counselor (Mental Health)
604 HIGHWAY 80 W STE R
CLINTON, MS 39056
Counselor (Professional)
604 HIGHWAY 80 W STE R
CLINTON, MS 39056

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 Imogen Nicholas's NPI number?

The NPI number for Imogen Nicholas is 1851219398. It was assigned to this individual provider in the NPPES registry on July 9, 2026.

Where is Imogen Nicholas located?

Imogen Nicholas practices at 604 Highway 80 W Ste R, Clinton, MS 39056. The listed phone number is (601) 473-2106.

What is Imogen Nicholas'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 Imogen Nicholas was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.