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JOSEPHINE ANNA NICKUM M.E.D., LMHC
NPI 1598280661
Counselor - Mental Health in Silverdale, WA

Active since August 09, 2017Opted out of Medicare · through Oct 9, 2026
3888 NW RANDALL WAY STE 201, SILVERDALE, WA 98383(360) 698-5883(360) 698-5883 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2024, Aug 9, 2017 (2 updates tracked since 2017).

About Josephine Anna Nickum M.e.d., Lmhc NPPES

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

JOSEPHINE ANNA NICKUM M.E.D., LMHC (NPI 1598280661) is an individual mental health provider in Silverdale, Washington, licensed in Washington (LH60947420) and active in the NPI registry since August 2017. She has opted out of Medicare through October 9, 2026 and maintains a secondary practice location in Anacortes.

NPPES Registry Identity

NPI1598280661
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJOSEPHINE ANNA NICKUMCredential: M.E.D., LMHC
Location Address3888 NW RANDALL WAY STE 201Silverdale, WA 98383-7847
Mailing Address3888 Nw Randall Way Ste 201Silverdale, WA 98383-7847 · (360) 698-5883 · Fax (360) 809-6002
Phone(360) 698-5883
Fax(360) 698-5883
Sole ProprietorNo
Enumeration DateAugust 9, 2017
Last NPPES UpdateNovember 29, 20242 updates tracked since enumeration
NPPES CertifiedNovember 29, 2024
✔ NPI 1598280661 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 WA · LH60947420
3888 NW RANDALL WAY STE 201, Silverdale, WA 98383
Open in Google Maps ↗

Other Names 1

Other Name (5)Josie Anna Nickum

Secondary Practice Location 1

Location 1606 Commercial Ave Ste BAnacortes, WA 98221-1700 · Phone (425) 655-7935

Other Identifiers 1

Medicaid2116270WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Josephine Anna Nickum M.e.d., Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 9, 2024 through October 9, 2026.

Opt-Out Effective DateOctober 9, 2024
Opt-Out In Effect ThroughOctober 9, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

DAVID ANTHONY TOLMIE
Counselor (Mental Health)
3888 NW RANDALL WAY STE 201
SILVERDALE, WA 98383
Kitsap County (360) 698-5883
SARA MILLET
Social Worker (Clinical)
3888 NW RANDALL WAY STE 201
SILVERDALE, WA 98383
Kitsap County (360) 698-5883
JOHN MONSTRE THIGPEN MSW, SUDP, LICSW
Social Worker (Clinical)
3888 NW RANDALL WAY STE 201
SILVERDALE, WA 98383
Kitsap County (360) 698-5883
ISAIAH ANDERSEN
Counselor (Mental Health)
3888 NW RANDALL WAY STE 201
SILVERDALE, WA 98383
Kitsap County (360) 698-5883
JESSICA ANN WADDING MSW, SUDP
Counselor (Addiction (Substance Use Disorder))
3888 NW RANDALL WAY STE 201
SILVERDALE, WA 98383
Kitsap County (360) 698-5883
CHRISTIE GREEN CDP, LMHC
Counselor (Mental Health)
3888 NW RANDALL WAY STE 201
SILVERDALE, WA 98383
Kitsap County (360) 698-5883
SARAH DOEMLAND LMHC
Counselor (Mental Health)
3888 NW RANDALL WAY STE 201
SILVERDALE, WA 98383
Kitsap County (360) 698-5883
DEVIN LOUDON
Counselor (Mental Health)
3888 NW RANDALL WAY STE 201
SILVERDALE, WA 98383
Kitsap County (360) 698-5883

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 Josephine Nickum's NPI number?

The NPI number for Josephine Nickum is 1598280661. It was assigned to this individual provider in the NPPES registry on August 9, 2017. The provider is also known as Josie Anna Nickum.

Where is Josephine Nickum located?

Josephine Nickum practices at 3888 NW Randall Way Ste 201, Silverdale, WA 98383. The listed phone number is (360) 698-5883.

What is Josephine Nickum's specialty?

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

Is Josephine Nickum enrolled in Medicare?

No. Josephine Nickum has opted out of Medicare through October 9, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Josephine Nickum accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Josephine Nickum 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 Josephine Nickum was last updated on November 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.