MEDICARE: NICOLE O'MAHONEY LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst
2	101YM0800X	Mental Health Counselor	LH61644536	WA
3	101Y00000X	Counselor	LH61644536	WA

General Provider Information

NPI Number	:	1932577715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE O'MAHONEY LMHC

Provider Business Mailing Address
First Line	:	21624 29TH ST E
Second Line	:
City	:	LAKE TAPPS
State	:	WA
Zip	:	98391-5620
Country	:	US
Telephone Number	:	253-355-6924
Fax Number	:

Provider Business Practice Location Address
First Line	:	21624 29TH ST E
Second Line	:
City	:	LAKE TAPPS
State	:	WA
Zip	:	98391-5620
Country	:	US
Telephone Number	:	253-355-6924
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2015
Last Update Date	:	05/24/2026

Similar Medicare Providers

1730254251 — MRS. SUSAN MARGARET MCALISTER MSP, CCC-SLP
Practice Location Address:

1358 MCCUTCHEON RD
LAKE CITY, SC
29560-5620

Practice Phone: 843-409-2585
Practice Fax:

1851542872 — KIM STEVENSON APRN-NP
Practice Location Address:

5620 S WATERBURY WAY # A200
SALT LAKE CITY, UT
84121-1180

Practice Phone: 801-455-8822
Practice Fax: 561-589-6511

1124391768 — RIVERS IN THE DESERT EYE CLINIC
Practice Location Address:

306 S LAKE ST
FARMINGTON, NM
87401-5620

Practice Phone: 505-326-0552
Practice Fax: 505-326-0552

1760934871 — ARIANNEJAD AND PHAM DENTAL CORPORATION
Practice Location Address:

5620 LAKE MURRAY BLVD
LA MESA, CA
91942-1981

Practice Phone: 619-324-4195
Practice Fax: 619-560-5434

1780198812 — READING RAILROAD, LLC
Practice Location Address:

1358 MCCUTCHEON RD
LAKE CITY, SC
29560-5620

Practice Phone: 843-409-2585
Practice Fax:

1184127144 — KMK FAMILY SERVICES, INC
Practice Location Address:

5620 S WATERBURY WAY STE A206
SALT LAKE CITY, UT
84121-6206

Practice Phone: 801-201-7050
Practice Fax: 801-274-0411

Directions to “ NICOLE O'MAHONEY LMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.