MRS. KIM NICHOLS MA, LMFTA
NPI 1588217004
Marriage & Family Therapist in Durham, NC

Q: What is Kim Nichols's NPI number?

The NPI number for Kim Nichols is 1588217004. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Q: What is Kim Nichols's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kim Nichols was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 23, 2019PECOS Enrolled

5315 HIGHGATE DR STE 102, DURHAM, NC 27713(919) 418-1718 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Kim Nichols Ma, Lmfta NPPES

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

MRS. KIM NICHOLS MA, LMFTA (NPI 1588217004) is an individual marriage & family therapist in Durham, North Carolina, licensed in North Carolina (12133A) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1588217004

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. KIM NICHOLSCredential: MA, LMFTA

Location Address5315 HIGHGATE DR STE 102Durham, NC 27713-6623

Mailing Address5378 Jessip StMorrisville, NC 27560-7502 · (919) 765-0168

Phone(919) 418-1718

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 23, 2019

✔ NPI 1588217004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in NC · 12133A

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

5315 HIGHGATE DR STE 102, Durham, NC 27713

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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 NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kim Nichols Ma, Lmfta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456892710

PECOS Enrollment IDI20240926001651

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 6

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

DR. LORRAINE MARGARET GRAVES PHD, MSW, LCSWA

Social Worker (Clinical)