NICOLE DOUGLAS LPC ACS
NPI 1912416389
Counselor in Vineland, NJ

Active since September 28, 2017
60 W LANDIS AVE, VINELAND, NJ 08360(856) 772-5809 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Douglas Lpc Acs NPPES

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

NICOLE DOUGLAS LPC ACS (NPI 1912416389) is an individual counselor in Vineland, New Jersey, licensed in New Jersey (37AC00380400) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1912416389
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameNICOLE DOUGLASCredential: LPC ACS
Location Address60 W LANDIS AVEVineland, NJ 08360-8107
Mailing Address12 S Maple Ave Apt 310Marlton, NJ 08053-2217 · (732) 379-7398
Sole ProprietorNo
Enumeration DateSeptember 28, 2017
Last NPPES UpdateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
NPI 1912416389 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 NJ · 37AC00380400
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.
60 W LANDIS AVE, Vineland, NJ 08360

Other Identifiers 1

Medicaid37AC00380400NJ

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.

Social Worker (Clinical)
60 W LANDIS AVE
VINELAND, NJ 08360
Counselor (Mental Health)
60 W LANDIS AVE
VINELAND, NJ 08360
Social Worker
60 W LANDIS AVE
VINELAND, NJ 08360
Counselor
60 W LANDIS AVE
VINELAND, NJ 08360
Counselor (Professional)
60 W LANDIS AVE
VINELAND, NJ 08360
Counselor (Mental Health)
60 W LANDIS AVE
VINELAND, NJ 08360
Social Worker (Clinical)
60 W LANDIS AVE
VINELAND, NJ 08360
Student in an Organized Health Care Education/Training Program
60 W LANDIS AVE
VINELAND, NJ 08360

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 Douglas's NPI number?

The NPI number for Nicole Douglas is 1912416389. It was assigned to this individual provider in the NPPES registry on September 28, 2017.

Where is Nicole Douglas located?

Nicole Douglas practices at 60 W Landis Ave, Vineland, NJ 08360. The listed phone number is (856) 772-5809.

What is Nicole Douglas'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 Nicole Douglas was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.