MR. RONALD G NICOLET MA LMHC LCAC NCC NPI 1194998179

NPI Information

  • NPI: 1194998179
  • Provider Name: MR. RONALD G NICOLET, MA, LMHC, LCAC, NCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1910 SAINT JOE CENTER RD
    SUITE 13
    FORT WAYNE, IN
    ZIP 46825
  • Phone: (260) 918-6323

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NPI Details

MR. Ronald G Nicolet, MA, LMHC, LCAC, NCC is a mental health counselor in Fort Wayne, IN with 37 years of experience. MR. Ronald G Nicolet, MA, LMHC, LCAC, NCC NPI is 1194998179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1910 SAINT JOE CENTER RD
SUITE 13
FORT WAYNE, IN
ZIP 46825-000
Phone: (260) 918-6323
Fax: (260) 755-5867

The NPI 1194998179 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 11/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health39001898AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201029880MEDICAIDINDIANA
2100190820MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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