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CAMERON NICKELS
NPI 1477211894
Counselor - Mental Health in Arkadelphia, AR

Active since December 02, 2021PECOS Enrolled
2607 CADDO ST STE 6, ARKADELPHIA, AR 71923(870) 230-8217 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2023, Dec 2, 2021 (2 updates tracked since 2021).

About Cameron Nickels NPPES

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

CAMERON NICKELS (NPI 1477211894) is an individual mental health provider in Arkadelphia, Arkansas and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1477211894
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCAMERON NICKELS
Location Address2607 CADDO ST STE 6Arkadelphia, AR 71923-5307
Mailing Address2607 Caddo St Ste 6Arkadelphia, AR 71923-5307 · (870) 230-8217
Phone(870) 230-8217
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 2, 2021
Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
✔ NPI 1477211894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2607 CADDO ST STE 6, Arkadelphia, AR 71923
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cameron Nickels is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789152083
PECOS Enrollment IDI20260505003721
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.

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.

MRS. PEGGY BURT LAC
Counselor (Professional)
2607 CADDO ST STE 6, AR COUNSELING & PSYCHODIAGNOSTICS, INC.
ARKADELPHIA, AR 71923
Clark County (870) 230-8217
PERRY N. SMITH
Case Manager/Care Coordinator
2607 CADDO ST STE 6
ARKADELPHIA, AR 71923
Clark County (870) 230-8217
ARIANNA LEEPER
Case Manager/Care Coordinator
2607 CADDO ST STE 6
ARKADELPHIA, AR 71923
Clark County (870) 230-8217
JENNIFER BURKS
Case Manager/Care Coordinator
2607 CADDO ST STE 6
ARKADELPHIA, AR 71923
Clark County (870) 230-8217
NICHOLAS WYATT
Case Manager/Care Coordinator
2607 CADDO ST STE 6
ARKADELPHIA, AR 71923
Clark County (870) 230-8217
MISTY GAIL KIMBERLIN
Counselor (Mental Health)
2607 CADDO ST STE 6
ARKADELPHIA, AR 71923
Clark County (870) 230-8217
KELLI COX
Case Manager/Care Coordinator
2607 CADDO ST STE 6
ARKADELPHIA, AR 71923
Clark County (870) 230-8217
HALEY M. LEE
Registered Nurse (Case Management)
2607 CADDO ST STE 6
ARKADELPHIA, AR 71923
Clark County (870) 230-8217

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 Cameron Nickels's NPI number?

The NPI number for Cameron Nickels is 1477211894. It was assigned to this individual provider in the NPPES registry on December 2, 2021.

Where is Cameron Nickels located?

Cameron Nickels practices at 2607 Caddo St Ste 6, Arkadelphia, AR 71923. The listed phone number is (870) 230-8217.

What is Cameron Nickels's specialty?

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

Is Cameron Nickels enrolled in Medicare?

Yes. Cameron Nickels is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cameron Nickels was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.