Nicole Darlene Ethridge
MA, LPC | Professional Counselor
1805 E Walnut St, Columbia
Missouri, 65201-6425
573-777-7500 573-777-7505
Maps & DirectionsNicole Darlene Ethridge is a Columbia, Missouri based counselor who is specialized as Professional Counselor. Active license number of Nicole Darlene Ethridge is 16030 for Professional Counselor in California. Her current practice location is 1805 E Walnut St, Columbia. Patients can book an appointment with her at 573-777-7500.
Nicole Darlene Ethridge is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Nicole Darlene Ethridge speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Nicole Darlene Ethridge |
| Specialization: | Professional Counselor |
| Gender: | Female |
| Credentials: | MA, LPC |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1805 E Walnut St, Columbia,
Missouri, 65201-6425 |
| Phone: | 573-777-7500 |
| Fax: | 573-777-7505 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1760974596 |
| NPI Enumeration Date: | 06 Jun, 2018 |
| NPI Last Update On: | 01 Oct, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Darlene Ethridge are as mentioned below.
| License Number | Specialization | State | Status | |
| 16030 | Professional Counselor | California | Primary | |
| 2018013675 | Counselor | Missouri | Secondary | |
| 37PC00899200 | Professional Counselor | New Jersey | Secondary | |
| PC-0011186 | Professional Counselor | Delaware | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Nicole Darlene Ethridge such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 490055189 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1300 E Bradford Pkwy,
Springfield, Missouri |
| Zip: | 65804-4264 |
| Phone Number: | 417-761-5000 |
| Fax Number: | 417-761-5065 |
Patients can reach Nicole Darlene Ethridge at
1805 E Walnut St, Columbia, Missouri or can
call to book an appointment on 573-777-7500.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.