MRS. JENNIFER ANN NICHOLS LPCA
NPI 1366721615
Counselor - Professional in Grayson, KY

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since August 04, 2011

840 INTERSTATE DR, GRAYSON, KY 41143(606) 474-5161(606) 475-3219 Get Directions Write a Review

NPPES record last updated: November 7, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Jennifer Ann Nichols Lpca NPPES

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

MRS. JENNIFER ANN NICHOLS LPCA (NPI 1366721615) is an individual professional provider in Grayson, Kentucky, licensed in Kentucky (1318) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1366721615

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. JENNIFER ANN NICHOLSCredential: LPCA

Location Address840 INTERSTATE DRGrayson, KY 41143-1768

Mailing AddressPo Box 790Ashland, KY 41105-0790 · (606) 329-8588 · Fax (606) 329-8195

Phone(606) 474-5161

Fax(606) 475-3219

Sole ProprietorNo

Enumeration DateAugust 4, 2011

Last NPPES UpdateNovember 7, 2014

✔ NPI 1366721615 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 KY · 1318

840 INTERSTATE DR, Grayson, KY 41143

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Other Identifiers 1

Medicaid30610026KY

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.

JOYCE ELAINE SAUNDERS PA

Psychologist