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

Individual provider Counselor · NPI 1114326931

Nichole R Fangman, LPCC is a Mental Health Counselor in Covington, Kentucky. Qualified in 1998, 28 years ago. Practices as a sole proprietor. Licensed in Kentucky.

Years since qualifying
28
Licensed in
KY
In the registry since
2014
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

4339 Winston Ave
Covington, KY 41015-1739
Phone: (859) 835-2573
Fax: (859) 727-6327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 163557 (KY)

Record details

NPI number1114326931
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorYes
NPI enumeratedAugust 18, 2014
Last updated in NPPESMay 31, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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