Healthcare Provider Details

I. General information

NPI: 1104779735
Provider Name (Legal Business Name): NICOLE L NEWELL MA, LCMHC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2026
Last Update Date: 02/14/2026
Certification Date: 02/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 MARCY HILL RD
SWANZEY NH
03446-2130
US

IV. Provider business mailing address

246 MARCY HILL RD
SWANZEY NH
03446-2130
US

V. Phone/Fax

Practice location:
  • Phone: 603-903-3857
  • Fax:
Mailing address:
  • Phone: 603-903-3857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2630
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2630
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: