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DR. BORNELL NICHOLSON PHD
NPI 1295186294
Marriage & Family Therapist in Spokane, WA

Active since June 30, 2016PECOS EnrolledAccepts Medicare Assignment
5901 N LIDGERWOOD ST STE 223, SPOKANE, WA 99208(509) 444-8200(509) 434-0392 Get Directions Write a Review

NPPES record last updated: July 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 5, 2024, Aug 16, 2021, Jun 30, 2016 (3 updates tracked since 2016).

About Dr. Bornell Nicholson Phd NPPES

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

DR. BORNELL NICHOLSON PHD (NPI 1295186294) is an individual marriage & family therapist in Spokane, Washington, licensed in Washington (LF61468637) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1295186294
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameDR. BORNELL NICHOLSONCredential: PHD
Location Address5901 N LIDGERWOOD ST STE 223Spokane, WA 99208-1122
Mailing Address611 N Iron Bridge WaySpokane, WA 99202-4932 · (509) 444-8888 · Fax (509) 444-7806
Phone(509) 444-8200
Fax(509) 434-0392
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 30, 2016
Last NPPES UpdateJuly 19, 20253 updates tracked since enumeration
NPPES CertifiedJuly 19, 2025
✔ NPI 1295186294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in WA · LF61468637
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselorTaxonomy 101Y00000X
5901 N LIDGERWOOD ST STE 223, Spokane, WA 99208
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Secondary Practice Locations 2

Location 170 S River StAurora, IL 60506-5185 · Phone (630) 844-2662
Location 21007 Church St Ste 302Evanston, IL 60201-5912 · Phone (630) 450-0625

Accepted Insurance

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

Dr. Bornell Nicholson Phd 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 ID547772451
PECOS Enrollment IDI20250625003497
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 Bornell Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Association Of Spokane
Same address
Federally Qualified Health Center (FQHC)
5901 N LIDGERWOOD ST STE 223
Spokane, WA 99208
  • Reassigned Medicare billing, Washington enrollment
  • 278 clinicians in this Medicare group
NPI 1598976409 (509) 444-8888

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.

LAURA J. BAEHNER M.D.
Psychiatry & Neurology (Psychiatry)
5901 N LIDGERWOOD ST STE 223
SPOKANE, WA 99208
Spokane County (509) 444-8200
ANDREA GRIECHEN MS, LMHC, SUDP
Counselor (Mental Health)
5901 N LIDGERWOOD ST STE 223
SPOKANE, WA 99208
Spokane County (609) 444-8200
MADELINE TYE
Peer Specialist
5901 N LIDGERWOOD ST STE 223
SPOKANE, WA 99208
Spokane County (509) 444-8200
MARIANA LEE ENSLEY
Counselor
5901 N LIDGERWOOD ST STE 223
SPOKANE, WA 99208
Spokane County (509) 444-8200
MCKAYLA M STUCKER
Counselor
5901 N LIDGERWOOD ST STE 223
SPOKANE, WA 99208
Spokane County (509) 444-8200
JORDAN RUGER LICSW
Social Worker
5901 N LIDGERWOOD ST STE 223
SPOKANE, WA 99208
Spokane County (509) 444-8200
TAYLOR JEAN SOLVERSON RN
Registered Nurse
5901 N LIDGERWOOD ST STE 223
SPOKANE, WA 99208
Spokane County (509) 444-8200
ARLENE ESTHER COOK CDP
Counselor (Mental Health)
5901 N LIDGERWOOD ST STE 223
SPOKANE, WA 99208
Spokane County (509) 444-8200

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 Bornell Nicholson's NPI number?

The NPI number for Bornell Nicholson is 1295186294. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Where is Bornell Nicholson located?

Bornell Nicholson practices at 5901 N Lidgerwood St Ste 223, Spokane, WA 99208. The listed phone number is (509) 444-8200.

What is Bornell Nicholson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Bornell Nicholson enrolled in Medicare?

Yes. Bornell Nicholson 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 organization bills Medicare for Bornell Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bornell Nicholson reassigns Medicare benefits to Community Health Association Of Spokane (Spokane, WA). 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 Bornell Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bornell Nicholson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Bornell Nicholson 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 Bornell Nicholson was last updated on July 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.