KIM NICHOLSON LCPC, NCC, CCTP, PMP
NPI 1689319261
Counselor - Professional in Madison, AL
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
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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.
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.
What insurance does Kim Nicholson accept?
Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company 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 41 days 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.
# Kim Nicholson, LCPC, NCC, CCTP, PMP · NPI 1689319261
Professional provider in Madison, Alabama. Individual provider, active in the CMS NPPES registry since April 28, 2022.
## Identity
- **NPI:** 1689319261 (Entity type: Individual)
- **Enumerated:** April 28, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LC12633 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 203 MABLE TRCE, Madison, AL 35756-4394
- **Phone:** (256) 269-6345 · **Fax:** (256) 542-0079
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 7, 2026
- **Other identifiers:** Other LPC05673 (AL); Other LC12633 (MD)
---
Source: [NPI Profile](https://npiprofile.com/npi/1689319261) · Data from the CMS NPPES public registry.