LAURA E NICKELSON MA, LPC
NPI 1235259664
Counselor - Professional in Kirksville, MO

Active since March 30, 2007PECOS Enrolled
2015 S HALLIBURTON ST, KIRKSVILLE, MO 63501(660) 626-0698 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2026, Jul 29, 2026, Feb 3, 2026 (3 updates tracked since 2026).

About Laura E Nickelson Ma, Lpc NPPES

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

LAURA E NICKELSON MA, LPC (NPI 1235259664) is an individual professional provider in Kirksville, Missouri, licensed in Missouri (2004016482) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1235259664
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLAURA E NICKELSONCredential: MA, LPC
Location Address2015 S HALLIBURTON STKirksville, MO 63501-4646
Mailing Address900 E Laharpe StKirksville, MO 63501-4520 · (660) 665-1962 · Fax (660) 665-3989
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 30, 2007
Last NPPES UpdateAugust 3, 20263 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1235259664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2004016482
2015 S HALLIBURTON ST, Kirksville, MO 63501

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura E Nickelson Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163873134
PECOS Enrollment IDI20240104001409
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 Laura Nickelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1300 E BRADFORD PKWY
Springfield, MO 65804
  • Reassigned Medicare billing, Missouri enrollment
  • 590 clinicians in this Medicare group

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 19

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

Counselor (Professional)
2015 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Counselor (Professional)
2015 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Counselor (Professional)
2015 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Counselor (Professional)
2015 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Counselor (Professional)
2015 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Social Worker (Clinical)
2015 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Marriage & Family Therapist
2015 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Counselor (Professional)
2015 S HALLIBURTON ST
KIRKSVILLE, MO 63501

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 Laura Nickelson's NPI number?

The NPI number for Laura Nickelson is 1235259664. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Laura Nickelson located?

Laura Nickelson practices at 2015 S Halliburton St, Kirksville, MO 63501. The listed phone number is (660) 626-0698.

What is Laura Nickelson's specialty?

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

Is Laura Nickelson enrolled in Medicare?

Yes. Laura Nickelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Laura Nickelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Nickelson reassigns Medicare benefits to Burrell, Inc. (Springfield, MO). 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 Laura Nickelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laura Nickelson accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and UnitedHealthcare list Laura Nickelson 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 Laura Nickelson was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.