Carrie A Nickles, LPC - Counselor in Prairie Grove, AR

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Carrie A Nickles, LPC is a Counselor - Mental Health based in Prairie Grove, Arkansas. Carrie A Nickles is licensed to practice in Arkansas (license number P1108056) and her current practice location is 801 Viney Grove Rd, Prairie Grove, Arkansas. She can be reached at her office (for appointments etc.) via phone at (303) 905-9025.

NPI number for Carrie A Nickles is 1083879167 and her current mailing address is 3960 W Owl Creek Pl, Fayetteville, Arkansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083879167.

Contact Information

Carrie A Nickles, LPC
801 Viney Grove Rd,
Prairie Grove, AR 72753-2623
(303) 905-9025
(479) 358-1493

Map and Direction


Healthcare Provider's Profile

Full NameCarrie A Nickles
GenderFemale
SpecialityCounselor - Mental Health
Location801 Viney Grove Rd, Prairie Grove, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083879167
  • Provider Enumeration Date: 07/28/2008
  • Last Update Date: 04/01/2019

Medical Identifiers

Medical identifiers for Carrie A Nickles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083879167NPI-NPPES
227848719MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health P1108056 (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carrie A Nickles is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carrie A Nickles, LPC
3960 W Owl Creek Pl,
Fayetteville, AR 72704-6237

Ph: (303) 905-9025		Carrie A Nickles, LPC
801 Viney Grove Rd,
Prairie Grove, AR 72753-2623

Ph: (303) 905-9025

Reviews and Comments


Counselor in Prairie Grove, AR


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