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MS. JOYCE DAWN NICHOLSON LPCC
NPI 1184308629
Counselor - Professional in Pomona, CA

Active since June 14, 2023PECOS Enrolled
2008 N GAREY AVE, POMONA, CA 91767(909) 623-6131(909) 865-9281 Get Directions Write a Review

NPPES record last updated: July 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2026, Dec 29, 2025, Dec 1, 2025 and 2 more (5 updates tracked since 2023).

About Ms. Joyce Dawn Nicholson Lpcc NPPES

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

MS. JOYCE DAWN NICHOLSON LPCC (NPI 1184308629) is an individual professional provider in Pomona, California, licensed in California (21313) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1184308629
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. JOYCE DAWN NICHOLSONCredential: LPCC
Location Address2008 N GAREY AVEPomona, CA 91767-2722
Mailing AddressPo Box 2121Clarksville, TN 37042-2121 · (310) 702-8975
Phone(909) 623-6131
Fax(909) 865-9281
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 14, 2023
Last NPPES UpdateJuly 26, 20265 updates tracked since enumeration
NPPES CertifiedJuly 26, 2026
✔ NPI 1184308629 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 CA · 21313
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 164622 (CA)
2008 N GAREY AVE, Pomona, CA 91767
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Joyce Dawn Nicholson Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395226195
PECOS Enrollment IDI20260219002893
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 Reassignment

Medicare enrollment records show Joyce Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
323 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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.

MARIA CAROLINA OUSTAD
Rehabilitation Practitioner
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 784-3236
KWONTA PHATIPHONG
Marriage & Family Therapist
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
ADDISON HAWTHORNE
Social Worker (Clinical)
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
DR. CARLOS A MURALLES M.D.
Psychiatry & Neurology (Psychiatry)
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
KIRANDEEP SANDHU
Psychiatry & Neurology (Psychiatry)
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
KRISTI ROMERO
Peer Specialist
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
SAMANTHA RITA KOEMANS
Student in an Organized Health Care Education/Training Program
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
ROBERT PAUL HIJAR
Community Health Worker
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 539-7729

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 Joyce Nicholson's NPI number?

The NPI number for Joyce Nicholson is 1184308629. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Joyce Nicholson located?

Joyce Nicholson practices at 2008 N Garey Ave, Pomona, CA 91767. The listed phone number is (909) 623-6131.

What is Joyce Nicholson's specialty?

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

Is Joyce Nicholson enrolled in Medicare?

Yes. Joyce Nicholson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joyce Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joyce Nicholson reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The 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 Joyce Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joyce Nicholson was last updated on July 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.