Provider Demographics
NPI:1013552819
Name:ROKEY, NICHOLE (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:NICHOLE
Middle Name:
Last Name:ROKEY
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21350 W 153RD ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-5413
Mailing Address - Country:US
Mailing Address - Phone:785-409-6801
Mailing Address - Fax:785-266-3428
Practice Address - Street 1:419 SW 29TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-1105
Practice Address - Country:US
Practice Address - Phone:785-409-6801
Practice Address - Fax:785-266-3428
Is Sole Proprietor?:No
Enumeration Date:2019-11-15
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3381101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health