NICHOLE A WILLIAMS LMHC
NPI 1407585367
Counselor - Mental Health in Bloomington, IN

Active since June 07, 2022Opted out of Medicare · through Oct 1, 2026
3671 N LAUREN LN, BLOOMINGTON, IN 47404(317) 508-7823 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nichole A Williams Lmhc NPPES

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

NICHOLE A WILLIAMS LMHC (NPI 1407585367) is an individual mental health provider in Bloomington, Indiana, licensed in Indiana (39003462A) and active in the NPI registry since June 2022. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1407585367
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICHOLE A WILLIAMSCredential: LMHC
Location Address3671 N LAUREN LNBloomington, IN 47404-9206
Mailing AddressPo Box 62Ellettsville, IN 47429-0062
Sole ProprietorYes
Enumeration DateJune 7, 2022
Last NPPES UpdateNovember 27, 2024
NPPES CertifiedJune 7, 2022
NPI 1407585367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IN · 39003462A
3671 N LAUREN LN, Bloomington, IN 47404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Nichole A Williams Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Nichole Williams's NPI number?

The NPI number for Nichole Williams is 1407585367. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Nichole Williams located?

Nichole Williams practices at 3671 N Lauren Ln, Bloomington, IN 47404. The listed phone number is (317) 508-7823.

What is Nichole Williams's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nichole Williams enrolled in Medicare?

No. Nichole Williams has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nichole Williams was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.