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

Nicole Lyn Bloch

Individual provider Mental Health Counselor · NPI 1821841123

Nicole Lyn Bloch is a Mental Health Counselor in Smiths Station, Alabama. Qualified in 2024, 2 years ago. Practices with Smiths Station and Phenix City Psychological, a 3-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

2061 Panther Pkwy
Smiths Station, AL 36877-2307
Phone: (334) 577-4978
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1821841123
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 8, 2024
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024
Mailing address2061 Panther Pkwy, Smiths Station, AL 36877-2307

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Smiths Station And Phenix City Psychological — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Smiths Station