Provider Demographics
NPI:1841579596
Name:HILL, NIKELLE (LCPC, NCC)
Entity type:Individual
Prefix:
First Name:NIKELLE
Middle Name:
Last Name:HILL
Suffix:
Gender:
Credentials:LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1374 NUUANU AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-4032
Mailing Address - Country:US
Mailing Address - Phone:808-691-5132
Mailing Address - Fax:808-691-4574
Practice Address - Street 1:1374 NUUANU AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-4032
Practice Address - Country:US
Practice Address - Phone:808-691-5132
Practice Address - Fax:808-691-4574
Is Sole Proprietor?:No
Enumeration Date:2011-08-12
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1155-17NR101YA0400X
HIMHC-353101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)