Healthcare Provider Details

I. General information

NPI: 1770462533
Provider Name (Legal Business Name): NIKOLE D NELSON PAULI, LMHC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1203 ELMRIDGE DR
CEDAR FALLS IA
50613-5404
US

IV. Provider business mailing address

1203 ELMRIDGE DR
CEDAR FALLS IA
50613-5404
US

V. Phone/Fax

Practice location:
  • Phone: 319-849-8124
  • Fax: 866-451-7227
Mailing address:
  • Phone: 319-849-8124
  • Fax: 866-451-7227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MS. NIKOLE D NELSON PAULI
Title or Position: OWNER
Credential: LMHC
Phone: 319-849-8124