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KIM NICHOLSON LCPC, NCC, CCTP, PMP
NPI 1689319261
Counselor - Professional in Madison, AL

Active since April 28, 2022PECOS EnrolledAccepts Medicare Assignment
203 MABLE TRCE, MADISON, AL 35756(256) 269-6345(256) 542-0079 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 7, 2026, Jan 15, 2026, Apr 14, 2023 and 1 more (4 updates tracked since 2022).

About Kim Nicholson Lcpc, Ncc, Cctp, Pmp NPPES

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

KIM NICHOLSON LCPC, NCC, CCTP, PMP (NPI 1689319261) is an individual professional provider in Madison, Alabama, licensed in Maryland (LC12633) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689319261
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIM NICHOLSONCredential: LCPC, NCC, CCTP, PMP
Location Address203 MABLE TRCEMadison, AL 35756-4394
Mailing Address203 Mable TrceMadison, AL 35756-4394 · (256) 269-6345 · Fax (256) 542-0079
Phone(256) 269-6345
Fax(256) 542-0079
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 28, 2022
Last NPPES UpdateJuly 7, 20264 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1689319261 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 MD · LC12633
203 MABLE TRCE, Madison, AL 35756
Open in Google Maps ↗

Other Identifiers 2

OtherLPC05673AL · Lpc
OtherLC12633MD · Board Of Professional Counselors&therapists

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.Insurance ›

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

Kim Nicholson Lcpc, Ncc, Cctp, Pmp 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 ID5597253948
PECOS Enrollment IDI20251018000735
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 Reassignments

2

Medicare enrollment records show Kim Nicholson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychological & Counseling Associates
7.2 mi
Psychologist
936 JEFF RD NW
Huntsville, AL 35806
  • Reassigned Medicare billing, Alabama enrollment
  • 5 clinicians in this Medicare group
NPI 1194889600 (256) 837-2127
Now What Therapy LLC
14 mi
Mental Health
600 BOULEVARD SOUTH SW STE 104
Huntsville, AL 35802
  • Reassigned Medicare billing, Alabama enrollment
NPI 1841142882 (256) 269-6345

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kim Nicholson's NPI number?

The NPI number for Kim Nicholson is 1689319261. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is Kim Nicholson located?

Kim Nicholson practices at 203 Mable Trce, Madison, AL 35756. The listed phone number is (256) 269-6345.

What is Kim Nicholson's specialty?

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

Is Kim Nicholson enrolled in Medicare?

Yes. Kim Nicholson 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 organizations bill Medicare for Kim Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Nicholson reassigns Medicare benefits to 2 organizations: Psychological & Counseling Associates (Huntsville, AL) and Now What Therapy LLC (Huntsville, AL). Each 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 Kim Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Nicholson accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Kim Nicholson 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 Kim Nicholson was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.