DAWN ALLISON NICHOLS LPC
NPI 1134626401
Counselor - Professional in Roseburg, OR

Q: What is Dawn Nichols's NPI number?

The NPI number for Dawn Nichols is 1134626401. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Q: What is Dawn Nichols's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Dawn Nichols was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 12, 2018PECOS EnrolledAccepts Medicare Assignment

2570 NW EDENBOWER BLVD STE 100, ROSEBURG, OR 97471(541) 677-7200(541) 229-3309 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2026, Apr 16, 2018, Apr 12, 2018 (3 updates tracked since 2018).

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About Dawn Allison Nichols Lpc NPPES

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

DAWN ALLISON NICHOLS LPC (NPI 1134626401) is an individual professional provider in Roseburg, Oregon, licensed in Oregon (C11106) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1134626401

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDAWN ALLISON NICHOLSCredential: LPC

Location Address2570 NW EDENBOWER BLVD STE 100Roseburg, OR 97471-6214

Mailing Address2570 Nw Edenbower Blvd Ste 100Roseburg, OR 97471-6214 · (541) 677-7200 · Fax (541) 229-3309

Phone(541) 677-7200

Fax(541) 229-3309

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 12, 2018

Last NPPES UpdateApril 1, 20263 updates tracked since enumeration

NPPES CertifiedApril 1, 2026

✔ NPI 1134626401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OR · C11106

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPCC.0015477 (CO)

2570 NW EDENBOWER BLVD STE 100, Roseburg, OR 97471

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Secondary Practice Locations 2

Location 1137 HowardEagle, CO 81631 · Phone (970) 328-6969 · Fax (970) 328-6329

Location 2395 E Lionshead CirVail, CO 81657-5354 · Phone (970) 476-0930 · Fax (970) 476-0535

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Dawn Allison Nichols Lpc 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 ID1456797356

PECOS Enrollment IDI20240314000798

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 20

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

CHARLENE DAVIS PMHNP

Nurse Practitioner (Psychiatric/Mental Health)