Healthcare Provider Details

I. General information

NPI: 1811700552
Provider Name (Legal Business Name): NICHOLAS HILL MA, LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2025
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

646 CR 207 APT 23
DURANGO CO
81301
US

IV. Provider business mailing address

PO BOX 252
DURANGO CO
81302-0252
US

V. Phone/Fax

Practice location:
  • Phone: 970-382-1409
  • Fax:
Mailing address:
  • Phone: 970-382-1409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0022068
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: