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

Individual provider Mental Health Counselor · NPI 1851816193

Nicole Ayssa Lollis, LCMHC is a Mental Health Counselor in Kernersville, North Carolina. Qualified in 2016, 10 years ago. Works from 2 locations. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2017
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Practice location Address checks out

1730 Kernersville Medical Pkwy Ste 101
Kernersville, NC 27284-7198
Phone: (336) 564-4950
Fax: (336) 564-4959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 W Hanes Mill Rd Ste 224, Winston Salem, NC 27105-7404 — (336) 546-5003

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 13006 (NC)

Record details

NPI number1851816193
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorNo
NPI enumeratedAugust 8, 2017
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Kernersville