Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Timothy I Nicholson, PLPC

Individual provider Professional Counselor · NPI 1629419437

Mr. Timothy I Nicholson, PLPC is a Professional Counselor in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2013

Practice location Address checks out

1323 Sullivan Ave
Saint Louis, MO 63107-3919
Phone: (314) 265-7014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2012006798 (MO)

Record details

NPI number1629419437
Entity typeIndividual (Type 1)
GenderMale
Credentials PLPC
Sole proprietorYes
NPI enumeratedJuly 9, 2013
Last updated in NPPESJuly 9, 2013

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