LARRY MICHAEL NICHOLLS
NPI 1508655101
Counselor - Mental Health in Portland, OR

Q: What is Larry Nicholls's NPI number?

The NPI number for Larry Nicholls is 1508655101. It was assigned to this individual provider in the NPPES registry on May 1, 2025.

Q: What is Larry Nicholls's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Larry Nicholls was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 01, 2025

80 SE MADISON ST, PORTLAND, OR 97214(541) 337-6374 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Larry Michael Nicholls NPPES

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

LARRY MICHAEL NICHOLLS (NPI 1508655101) is an individual mental health provider in Portland, Oregon and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1508655101

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameLARRY MICHAEL NICHOLLS

Location Address80 SE MADISON STPortland, OR 97214-4527

Mailing Address80 Se Madison StPortland, OR 97214-4527 · (541) 337-6374

Phone(541) 337-6374

Sole ProprietorYes

Enumeration DateMay 1, 2025

NPPES CertifiedMay 1, 2025

✔ NPI 1508655101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

80 SE MADISON ST, Portland, OR 97214

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEN RUSSELL

Peer Specialist

80 SE MADISON ST
PORTLAND, OR 97214

Multnomah County (916) 584-5821

CAPRESHE WANNTTE TARRANT

Peer Specialist

80 SE MADISON ST
PORTLAND, OR 97214

Multnomah County (971) 373-8170

TYQUISHA TRINE CRM

Peer Specialist

80 SE MADISON ST
PORTLAND, OR 97214

Multnomah County (971) 380-0748

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 Larry Nicholls's NPI number?

The NPI number for Larry Nicholls is 1508655101. It was assigned to this individual provider in the NPPES registry on May 1, 2025.

Where is Larry Nicholls located?

Larry Nicholls practices at 80 SE Madison St, Portland, OR 97214. The listed phone number is (541) 337-6374.

What is Larry Nicholls's specialty?

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

When was this NPI record last updated?

The NPPES record for Larry Nicholls was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.