Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LUCILLE NICHOLSON CPSS
NPI 1134049505
Peer Specialist in Raleigh, NC

Active since July 16, 2026
3721 BENSON DR STE 1C, RALEIGH, NC 27609(984) 302-1452 Get Directions Write a Review

NPPES record last updated: October 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 17, 2026, Jul 31, 2026, Jul 16, 2026 (3 updates tracked since 2026).

About Lucille Nicholson Cpss NPPES

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

LUCILLE NICHOLSON CPSS (NPI 1134049505) is an individual peer specialist in Raleigh, North Carolina, licensed in North Carolina (2026-18007-01) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1134049505
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameLUCILLE NICHOLSONCredential: CPSS
Location Address3721 BENSON DR STE 1CRaleigh, NC 27609-7390
Mailing Address3721 Benson Dr Ste 1cRaleigh, NC 27609-7390 · (984) 302-1452
Sole ProprietorYes
Enumeration DateJuly 16, 2026
Last NPPES UpdateOctober 17, 20263 updates tracked since enumeration
NPPES CertifiedOctober 17, 2026
✔ NPI 1134049505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in NC · 2026-18007-01
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCase ManagementTaxonomy 251B00000X
3721 BENSON DR STE 1C, Raleigh, NC 27609

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 Lucille Nicholson's NPI number?

The NPI number for Lucille Nicholson is 1134049505. It was assigned to this individual provider in the NPPES registry on July 16, 2026.

Where is Lucille Nicholson located?

Lucille Nicholson practices at 3721 Benson Dr Ste 1C, Raleigh, NC 27609. The listed phone number is (984) 302-1452.

What is Lucille Nicholson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Lucille Nicholson was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.