LISA L NICHOLSON LICSW
NPI 1114045671
Psychologist in Brattleboro, VT
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
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa L Nicholson Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bellows Falls, VT 05101
- Reassigned Medicare billing, Vermont enrollment
- 35 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Lisa Nicholson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Nicholson reassigns Medicare benefits to Health Care And Rehabilitation Services Of Southeastern Vermont, Inc. (Bellows Falls, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.