JONATHAN NICHOLS
NPI 1124541149
Counselor - Mental Health in Waltham, MA

Active since July 21, 2017PECOS EnrolledAccepts Medicare Assignment
20 HIGH ST STE 1, WALTHAM, MA 02453(781) 242-2200 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2025, Jul 21, 2017 (2 updates tracked since 2017).

About Jonathan Nichols NPPES

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

JONATHAN NICHOLS (NPI 1124541149) is an individual mental health provider in Waltham, Massachusetts and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1124541149
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJONATHAN NICHOLS
Location Address20 HIGH ST STE 1Waltham, MA 02453-0574
Mailing Address38 Front St Fl 5Worcester, MA 01608-1732 · (508) 756-5400
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 21, 2017
Last NPPES UpdateApril 2, 20252 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
NPI 1124541149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
20 HIGH ST STE 1, Waltham, MA 02453

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 and accepts Medicare assignment

Jonathan Nichols is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002256385
PECOS Enrollment IDI20240503000795
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 4

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

Counselor (Mental Health)
20 HIGH ST STE 1
WALTHAM, MA 02453
Counselor (Addiction (Substance Use Disorder))
20 HIGH ST STE 1
WALTHAM, MA 02453
Psychiatry & Neurology (Psychiatry)
20 HIGH ST STE 1
WALTHAM, MA 02453
Counselor (Mental Health)
20 HIGH ST STE 1
WALTHAM, MA 02453

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 Jonathan Nichols's NPI number?

The NPI number for Jonathan Nichols is 1124541149. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Where is Jonathan Nichols located?

Jonathan Nichols practices at 20 High St Ste 1, Waltham, MA 02453. The listed phone number is (781) 242-2200.

What is Jonathan Nichols's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jonathan Nichols enrolled in Medicare?

Yes. Jonathan Nichols is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jonathan Nichols accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Jonathan Nichols 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 Jonathan Nichols was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.