JOHN NICHOLAS
NPI 1154747608
Counselor in Lacey, WA

Q: What is John Nicholas's NPI number?

The NPI number for John Nicholas is 1154747608. It was assigned to this individual provider in the NPPES registry on March 7, 2014.

Q: What is John Nicholas's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for John Nicholas was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 07, 2014PECOS EnrolledAccepts Medicare Assignment

1905 LEBANON ST SE, LACEY, WA 98503(360) 280-8374 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John Nicholas NPPES

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

JOHN NICHOLAS (NPI 1154747608) is an individual counselor in Lacey, Washington and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1154747608

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameJOHN NICHOLAS

Location Address1905 LEBANON ST SELacey, WA 98503-2727

Mailing Address1905 Lebanon St SeLacey, WA 98503-2727 · (360) 280-8374

Phone(360) 280-8374

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 7, 2014

Last NPPES UpdateFebruary 12, 2024

NPPES CertifiedFebruary 12, 2024

✔ NPI 1154747608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH6149071 (WA)

1905 LEBANON ST SE, Lacey, WA 98503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

John Nicholas 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 ID5799221198

PECOS Enrollment IDI20240722002865

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.

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 John Nicholas's NPI number?

The NPI number for John Nicholas is 1154747608. It was assigned to this individual provider in the NPPES registry on March 7, 2014.

Where is John Nicholas located?

John Nicholas practices at 1905 Lebanon St SE, Lacey, WA 98503. The listed phone number is (360) 280-8374.

What is John Nicholas's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is John Nicholas enrolled in Medicare?

Yes. John Nicholas 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 John Nicholas accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list John Nicholas 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 John Nicholas was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.