NICKOLAS SPEARS JR. LPC
NPI 1497479463
Counselor - Mental Health in Henrico, VA
About Nickolas Spears Jr. Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICKOLAS SPEARS JR. LPC (NPI 1497479463) is an individual mental health provider in Henrico, Virginia, licensed in Virginia (0701011855) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nickolas Spears Jr. Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nickolas Spears reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Henrico, VA 23294
- Reassigned Medicare billing, Virginia enrollment
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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nickolas Spears's NPI number?
The NPI number for Nickolas Spears is 1497479463. It was assigned to this individual provider in the NPPES registry on October 3, 2022.
Where is Nickolas Spears located?
Nickolas Spears practices at 9039 W Broad St Ste 1, Henrico, VA 23294. The listed phone number is (347) 885-2727.
What is Nickolas Spears's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Nickolas Spears enrolled in Medicare?
Yes. Nickolas Spears is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nickolas Spears's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nickolas Spears reassigns Medicare benefits to Gap Counseling, LLC (Henrico, VA). 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 Nickolas Spears's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nickolas Spears was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nickolas Spears Jr., LPC · NPI 1497479463
Mental Health provider in Henrico, Virginia. Individual provider, active in the CMS NPPES registry since October 3, 2022.
## Identity
- **NPI:** 1497479463 (Entity type: Individual)
- **Enumerated:** October 3, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 0701011855 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 9039 W BROAD ST STE 1, Henrico, VA 23294-5842
- **Phone:** (347) 885-2727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Gap Counseling, LLC (NPI 1891419859, Henrico, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1497479463) · Data from the CMS NPPES public registry.