IndividualActive
Nicole Grant, M. ED., LPC
NPI 1649613381 · Mental Health Counselor · Tyler, TX
Provider details
- NPI number
- 1649613381
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- M. ED., LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 18777 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
2624 Kensington Dr Ste 112
Tyler, TX 75703-2734
Phone: (903) 530-2290
Street-level locationGet directions
Mailing address
2624 Kensington Dr Ste 112
Tyler, TX 75703-2734
Registry dates
- Enumerated
- 2013-04-11
- Last updated
- 2021-08-19
- Certified
- 2020-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.