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DEBRA JEAN NICHOLSON CADC
NPI 1194287797
Counselor - Addiction (Substance Use Disorder) in Lynn, MA

Active since April 02, 2019

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, Apr 2, 2019 (2 updates tracked since 2019).

About Debra Jean Nicholson Cadc NPPES

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

DEBRA JEAN NICHOLSON CADC (NPI 1194287797) is an individual addiction (substance use disorder) provider in Lynn, Massachusetts, licensed in Massachusetts (1513AD) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1194287797
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDEBRA JEAN NICHOLSONCredential: CADC
Location Address11 CIRCLE AVELynn, MA 01905-3050
Mailing Address11 Circle AveLynn, MA 01905-3050 · (781) 836-4054
Phone(781) 836-4054
Sole ProprietorYes
Enumeration DateApril 2, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
✔ NPI 1194287797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MA · 1513AD
11 CIRCLE AVE, Lynn, MA 01905
Open in Google Maps ↗

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.

KRISTEN CONGELOSI
Counselor (Addiction (Substance Use Disorder))
11 CIRCLE AVE
LYNN, MA 01905
Essex County (978) 675-7801
KALEIGH NICOLE ELLIS B.A, LADC II
Counselor (Addiction (Substance Use Disorder))
11 CIRCLE AVE
LYNN, MA 01905
Essex County (781) 346-9941
MRS. MEREDITH M MEDEIROS
Counselor (Addiction (Substance Use Disorder))
11 CIRCLE AVE
LYNN, MA 01905
Essex County (781) 595-2413
HABIT OPTCO ACADIA HEALTHCARE
Public Health or Welfare
11 CIRCLE AVE
LYNN, MA 01905
Essex County (781) 595-2413
DAPHNE LECONTE RN
Registered Nurse
11 CIRCLE AVE
LYNN, MA 01905
Essex County (781) 346-9941
MRS. GAYLE PATRICIA HEARNS-ROGERS LADC-1, CAS
Counselor (Addiction (Substance Use Disorder))
11 CIRCLE AVE
LYNN, MA 01905
Essex County (781) 356-8017
SARA MARIE KANARKIEWICZ RN
Registered Nurse (Addiction (Substance Use Disorder))
11 CIRCLE AVE
LYNN, MA 01905
Essex County (781) 595-2413
ELIZABETH KELLEY
Counselor (Mental Health)
11 CIRCLE AVE
LYNN, MA 01905
Essex County (781) 595-2413

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 Debra Nicholson's NPI number?

The NPI number for Debra Nicholson is 1194287797. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Debra Nicholson located?

Debra Nicholson practices at 11 Circle Ave, Lynn, MA 01905. The listed phone number is (781) 836-4054.

What is Debra Nicholson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Debra Nicholson was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.