PHILIP RAY NICHOLAS LPC-MHSP
NPI 1568069524
Counselor - Mental Health in Jackson, TN

Q: What is Philip Nicholas's NPI number?

The NPI number for Philip Nicholas is 1568069524. It was assigned to this individual provider in the NPPES registry on October 2, 2020.

Q: What is Philip Nicholas'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 Philip Nicholas was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 02, 2020

19 WOOD DUCK CV, JACKSON, TN 38305(731) 571-7500 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Philip Ray Nicholas Lpc-mhsp NPPES

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

PHILIP RAY NICHOLAS LPC-MHSP (NPI 1568069524) is an individual mental health provider in Jackson, Tennessee, licensed in Tennessee (5027) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1568069524

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NamePHILIP RAY NICHOLASCredential: LPC-MHSP

Location Address19 WOOD DUCK CVJackson, TN 38305-6632

Mailing Address19 Wood Duck CvJackson, TN 38305-6632 · (731) 571-7500

Phone(731) 571-7500

Sole ProprietorYes

Enumeration DateOctober 2, 2020

NPPES CertifiedSeptember 22, 2020

✔ NPI 1568069524 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 TN · 5027

19 WOOD DUCK CV, Jackson, TN 38305

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee, Oscar Insurance Company and more.Insurance ›

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 Philip Nicholas's NPI number?

The NPI number for Philip Nicholas is 1568069524. It was assigned to this individual provider in the NPPES registry on October 2, 2020.

Where is Philip Nicholas located?

Philip Nicholas practices at 19 Wood Duck Cv, Jackson, TN 38305. The listed phone number is (731) 571-7500.

What is Philip Nicholas's specialty?

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

What insurance does Philip Nicholas accept?

Health plans from Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Philip Nicholas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Philip Nicholas was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.