Healthcare Provider Details

I. General information

NPI: 1497246938
Provider Name (Legal Business Name): NICHOLAS JOHN MEISTER LPCC-S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2018
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 PREEMAN ST
BLACKLICK OH
43004-8786
US

IV. Provider business mailing address

1747 OLENTANGY RIVER RD # 1403
COLUMBUS OH
43212-1453
US

V. Phone/Fax

Practice location:
  • Phone: 614-689-0700
  • Fax: 614-689-0750
Mailing address:
  • Phone: 614-689-0700
  • Fax: 614-689-0750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number9842
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number180017748
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberE.2001824
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: