Active NPI 1619620176 Individual Practitioner Female Practitioner

Jae Nicholson

Counselor - Professional • Bryan, TX

Professional Overview & Biography Verified Profile Summary

Jae Nicholson is a registered healthcare professional specializing in Counselor - Professional in Bryan, TX. Practice services are available at 2490 BOONVILLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2490 Boonville Rd

Bryan, TX 778082326

Telephone 9797031808

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Bryan, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.4 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

81 Specialists

Practicing in Bryan, TX (21203 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-02-03

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License None 76655

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Emily Burrow , LMFT

Marriage & Family Therapist

NPI 1043083827

Licensed Marriage and Family Therapist

Allyson Ingalls

Counselor - Mental Health

NPI 1164381570

Laura Bauer , LCSW

Social Worker - Clinical

NPI 1194429241

Licensed Clinical Social Worker

Sarah Savoy

Counselor - Professional

NPI 1194677971

Dana Martinez , LPC

Counselor - Professional

NPI 1215695929

Licensed Professional Counselor

Stephanie Weber , LMFT-ASSOCIATE

Marriage & Family Therapist

NPI 1326902024

LMFTASSOCIATE

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 03, 2022

NPI status registered as active in NPPES database

📍

Updated Practice Location February 03, 2022

Registered at 2490 BOONVILLE RD, BRYAN, TX 778082326 (Tel: 9797031808)

📍

Updated Business Mailing Address February 03, 2022

Registered at 2490 BOONVILLE RD, BRYAN, TX 778082326

👤

Provider Name / Credentials Updated February 03, 2022

Recorded as JAE NICHOLSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2022

Counselor (License #76655 in None)

🟢

Initial NPI Registration & Enumeration February 03, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619620176

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 03, 2022

Last Update: February 03, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2490 Boonville Rd

Bryan, TX 778082326

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.