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MARY ROSE NICHOLS LCSW, CADCIII
NPI 1477572188
Counselor - Addiction (Substance Use Disorder) in Enterprise, OR

Active since July 19, 2006
207 SW 1ST ST, ENTERPRISE, OR 97828(541) 426-4524(541) 426-3035 Get Directions Write a Review

NPPES record last updated: February 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Rose Nichols Lcsw, Cadciii NPPES

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

MARY ROSE NICHOLS LCSW, CADCIII (NPI 1477572188) is an individual addiction (substance use disorder) provider in Enterprise, Oregon, licensed in Oregon (L1978) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1477572188
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARY ROSE NICHOLSCredential: LCSW, CADCIII
Location Address207 SW 1ST STEnterprise, OR 97828-1203
Mailing Address207 Sw 1st St, P.o. Box 268Enterprise, OR 97828-1203 · (541) 426-4524 · Fax (541) 426-3035
Phone(541) 426-4524
Fax(541) 426-3035
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateFebruary 7, 2008
✔ NPI 1477572188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · L1978
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License L1978 (OR)
207 SW 1ST ST, Enterprise, OR 97828
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Other Identifiers 1

Medicaid210511OR

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.

HANNAH HILLOCK QMHA
Case Manager/Care Coordinator
207 SW 1ST ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-0168
CHANTAY JETT
Behavior Analyst
207 SW 1ST ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-4524
AMY BUSCH
Case Manager/Care Coordinator
207 SW 1ST ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-4524
MS. ANNA MAPES RN, BSN
Registered Nurse
207 SW 1ST ST
ENTERPRISE, OR 97828
Wallowa County (541) 246-0801
SHANNON ELIZABETH WIEDEMAN NP AND RN
Registered Nurse (Psychiatric/Mental Health)
207 SW 1ST ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-0801
KATE FORSTER QMHA
Case Manager/Care Coordinator
207 SW 1ST ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-0801
CHRISTIAN NIECE
Case Manager/Care Coordinator
207 SW 1ST ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-4524
PAUL SPRIGGS-FLANDERS LPC
Counselor (Mental Health)
207 SW 1ST ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-4524

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 Mary Nichols's NPI number?

The NPI number for Mary Nichols is 1477572188. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Mary Nichols located?

Mary Nichols practices at 207 SW 1st St, Enterprise, OR 97828. The listed phone number is (541) 426-4524.

What is Mary Nichols's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mary Nichols was last updated on February 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.