LISA L NICHOLSON LICSW
NPI 1114045671
Psychologist in Brattleboro, VT

Active since March 26, 2007PECOS Enrolled
29 ELM ST, BRATTLEBORO, VT 05301(802) 254-7511(802) 254-7506 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa L Nicholson Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA L NICHOLSON LICSW (NPI 1114045671) is an individual psychologist in Brattleboro, Vermont, licensed in Vermont (089-0000699) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114045671
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameLISA L NICHOLSONCredential: LICSW
Location Address29 ELM STBrattleboro, VT 05301-6511
Mailing Address1 Hospital Ct, Ste 410Bellows Falls, VT 05101-1489 · (802) 463-3294 · Fax (802) 463-1206
Fax(802) 254-7506
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1114045671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in VT · 089-0000699
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
29 ELM ST, Brattleboro, VT 05301

Other Identifiers 4

Other49345VT · Blue Cross
Other2158213VT · Cigna
Medicare ID-Type UnspecifiedVN2757VT
MedicaidOVN2757VT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lisa L Nicholson Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
29 ELM ST
BRATTLEBORO, VT 05301
Community Health Worker
29 ELM ST
BRATTLEBORO, VT 05301
Registered Nurse
29 ELM ST
BRATTLEBORO, VT 05301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Nicholson's NPI number?

The NPI number for Lisa Nicholson is 1114045671. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Lisa Nicholson located?

Lisa Nicholson practices at 29 Elm St, Brattleboro, VT 05301. The listed phone number is (802) 254-7511.

What is Lisa Nicholson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Lisa Nicholson enrolled in Medicare?

Yes. Lisa Nicholson is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Nicholson accept?

Health plans from Anthem Blue Cross and Blue Shield list Lisa Nicholson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Nicholson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.