IndividualActive
Edie Nicholson, PCMHT
NPI 1295507879 · Counselor · Ellisville, MS
Edie Nicholson, PCMHT is a Counselor provider in Ellisville, MS (NPI 1295507879).
Provider details
- NPI number
- 1295507879
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- PCMHT
- Sex
- Female
- Sole proprietor
- No
- License
- 6059 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5192 Highway 11 N
Ellisville, MS 39437-5050
Phone: (601) 649-7921
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 18679
Hattiesburg, MS 39404-8679
Registry dates
- Enumerated
- 2023-10-26
- Last updated
- 2023-10-26
- Certified
- 2023-10-26
Frequently asked questions
- What is Edie Nicholson's NPI number?
- Edie Nicholson's National Provider Identifier (NPI) is 1295507879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edie Nicholson's specialty?
- Edie Nicholson is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Edie Nicholson located?
- Edie Nicholson's practice location on file with NPPES is 5192 Highway 11 N, Ellisville, MS 39437-5050.
- What is Edie Nicholson's phone number?
- The practice phone number listed in the NPPES registry for Edie Nicholson is (601) 649-7921.
- Is Edie Nicholson's NPI active?
- Yes — Edie Nicholson's NPI (1295507879) is active in the NPPES registry as of the last update on 2023-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.