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

Individual provider Mental Health Counselor · NPI 1518545649

Nicole Holler-Blackmon, LPC is a Mental Health Counselor in Mechanicsville, Virginia. Qualified in 2015, 11 years ago. Practices with Realign Your Mind Counseling Services, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2021
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

9193 Swannanoa Trl
Mechanicsville, VA 23116-3918
Phone: (804) 477-4808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0701009509 (VA)

Record details

NPI number1518545649
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedMarch 30, 2021
Last updated in NPPESMarch 30, 2021
Certification dateMarch 28, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Realign Your Mind Counseling Services — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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