JOSEPH NICHOLS MA
NPI 1609128008
Counselor - Professional in Fort Collins, CO

Active since October 09, 2012PECOS EnrolledAccepts Medicare Assignment
2260 W TRILBY RD, FORT COLLINS, CO 80526(970) 494-4200 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 11, 2026, Feb 6, 2026, Mar 26, 2025 and 2 more (5 updates tracked since 2017).

About Joseph Nichols Ma NPPES

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

JOSEPH NICHOLS MA (NPI 1609128008) is an individual professional provider in Fort Collins, Colorado, licensed in Colorado (LPC.023725) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Collins, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1609128008
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOSEPH NICHOLSCredential: MA
Location Address2260 W TRILBY RDFort Collins, CO 80526-9650
Mailing Address4856 Innovation DrFort Collins, CO 80525-5539 · (970) 494-4200 · Fax (844) 270-1824
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 9, 2012
Last NPPES UpdateMay 11, 20265 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1609128008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.023725
2260 W TRILBY RD, Fort Collins, CO 80526

Other Names 1

Other Name (5)Joe Nichols

Secondary Practice Location 1

Location 14856 Innovation DrFort Collins, CO 80525-5539 · Phone (970) 494-4200 · Fax (844) 270-1824

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph Nichols Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416426234
PECOS Enrollment IDI20260520003897
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.

Medicare Billing Reassignment

Medicare enrollment records show Joseph Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Medical Laboratory
2260 W TRILBY RD
Fort Collins, CO 80526
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Summitstone Health Partners
  • 183 clinicians in this Medicare group

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 20

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

Behavior Technician
2260 W TRILBY RD
FORT COLLINS, CO 80526
Clinic/Center (Mental Health (Including Community Mental Health Center))
2260 W TRILBY RD
FORT COLLINS, CO 80526
Registered Nurse
2260 W TRILBY RD
FORT COLLINS, CO 80526
Behavior Technician
2260 W TRILBY RD
FORT COLLINS, CO 80526
Case Manager/Care Coordinator
2260 W TRILBY RD
FORT COLLINS, CO 80526
Counselor (Mental Health)
2260 W TRILBY RD
FORT COLLINS, CO 80526
Pharmacy Technician
2260 W TRILBY RD
FORT COLLINS, CO 80526
Nurse Practitioner (Psychiatric/Mental Health)
2260 W TRILBY RD
FORT COLLINS, CO 80526

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 Joseph Nichols's NPI number?

The NPI number for Joseph Nichols is 1609128008. It was assigned to this individual provider in the NPPES registry on October 9, 2012. The provider is also known as Joe Nichols.

Where is Joseph Nichols located?

Joseph Nichols practices at 2260 W Trilby Rd, Fort Collins, CO 80526. The listed phone number is (970) 494-4200.

What is Joseph Nichols's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Joseph Nichols enrolled in Medicare?

Yes. Joseph Nichols is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Joseph Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Nichols reassigns Medicare benefits to Longview Behavioral Health (Fort Collins, CO). 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 Joseph Nichols'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 Joseph Nichols was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.