Provider Demographics
NPI:1912392234
Name:GREEN SINGER, NICOLE DAWN (MS LPC LCPC NCC)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:DAWN
Last Name:GREEN SINGER
Suffix:
Gender:F
Credentials:MS LPC LCPC NCC
Other - Prefix:MRS
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:SINGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS LPC NCC
Mailing Address - Street 1:15310 W 89TH PL
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-1128
Mailing Address - Country:US
Mailing Address - Phone:913-523-6081
Mailing Address - Fax:913-392-7199
Practice Address - Street 1:15310 W 89TH PL
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-1128
Practice Address - Country:US
Practice Address - Phone:913-523-6081
Practice Address - Fax:913-392-7199
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-02
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019040467101YP2500X
KS03428101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional