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

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: October 25, 2026.

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

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
Open in Google Maps ↗

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 BridgeSpan Health Company, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Dawn Nichols reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centennial Medical Group East, LLC
Same address
Family Medicine
2570 NW EDENBOWER BLVD
Roseburg, OR 97471
  • Reassigned Medicare billing, Oregon enrollment
  • 61 clinicians in this Medicare group
NPI 1134436637 (541) 677-2494
The Christian & Missionary Alliance Foundation Inc
2,585 mi
Skilled Nursing Facility
13880 SHELL POINT PLZ STE 200
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Dna Comprehensive Therapy Services LLC
  • 618 clinicians in this Medicare group
NPI 1669546321 (239) 454-2041
Mindful Medical And Health Services LLC
2,630 mi
Mental Health
145 NW CENTRAL PARK PLZ STE 200
Port St Lucie, FL 34986
  • Reassigned Medicare billing, Florida enrollment
  • 24 clinicians in this Medicare group
NPI 1720759954 (772) 497-5985

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 20

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

CHARLENE BREAUX PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2570 NW EDENBOWER BLVD STE 100
ROSEBURG, OR 97471
Douglas County (541) 677-7200
DR. BRANDON W BONDS MD
Family Medicine
2570 NW EDENBOWER BLVD STE 100
ROSEBURG, OR 97471
Douglas County (541) 677-7200
GERILYNN JUTSON RN
Registered Nurse
2570 NW EDENBOWER BLVD STE 100
ROSEBURG, OR 97471
Douglas County (541) 677-7200
KATHLEEN MARIE RIORDAN FNP
Nurse Practitioner (Family)
2570 NW EDENBOWER BLVD STE 100
ROSEBURG, OR 97471
Douglas County (541) 677-7200
APRIL M GREEN
Counselor (Mental Health)
2570 NW EDENBOWER BLVD STE 100
ROSEBURG, OR 97471
Douglas County (541) 677-7200
CHRISTY L BECK CHW
Community Health Worker
2570 NW EDENBOWER BLVD STE 100
ROSEBURG, OR 97471
Douglas County (541) 677-7200
CYNTHIA S NORONA
Community Health Worker
2570 NW EDENBOWER BLVD STE 100
ROSEBURG, OR 97471
Douglas County (541) 677-7200
BRENDA E BURKS CHW
Community Health Worker
2570 NW EDENBOWER BLVD STE 100
ROSEBURG, OR 97471
Douglas County (541) 677-7200

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 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.

Where is Dawn Nichols located?

Dawn Nichols practices at 2570 NW Edenbower Blvd Ste 100, Roseburg, OR 97471. The listed phone number is (541) 677-7200.

What is Dawn Nichols's specialty?

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

Is Dawn Nichols enrolled in Medicare?

Yes. Dawn 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.

Which organizations bill Medicare for Dawn Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Nichols reassigns Medicare benefits to 3 organizations: Centennial Medical Group East, LLC (Roseburg, OR), The Christian & Missionary Alliance Foundation Inc (Fort Myers, FL) and Mindful Medical And Health Services LLC (Port St Lucie, FL). Each 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 Dawn Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dawn Nichols accept?

Health plans from BridgeSpan Health Company, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Moda Health Plan, Inc. and Providence Health Plan and 1 other insurer list Dawn 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 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 7 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.