MR. TODD NICHOLS LPCC
NPI 1750779054
Counselor - Professional in Santa Fe, NM

Active since January 08, 2015PECOS EnrolledAccepts Medicare Assignment
2504 CAMINO ENTRADA, SANTA FE, NM 87507(505) 471-5006 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Todd Nichols Lpcc NPPES

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

MR. TODD NICHOLS LPCC (NPI 1750779054) is an individual professional provider in Santa Fe, New Mexico, licensed in New Mexico (CCMH0221261) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1750779054
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. TODD NICHOLSCredential: LPCC
Location Address2504 CAMINO ENTRADASanta Fe, NM 87507-4851
Mailing Address2504 Camino EntradaSanta Fe, NM 87507-4851
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 8, 2015
Last NPPES UpdateMarch 15, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1750779054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NM · CCMH0221261
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0176261 (NM)
2504 CAMINO ENTRADA, Santa Fe, NM 87507

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

Mr. Todd Nichols Lpcc 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 ID9335675255
PECOS Enrollment IDI20241216000341
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 Todd Nichols reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Child & Adolescent
2204 BROTHERS RD, SUITE B
Santa Fe, NM 87505
  • Reassigned Medicare billing, New Mexico enrollment
  • 10 clinicians in this Medicare group
Psychologist
2200 GRANDE BLVD SE STE B
Rio Rancho, NM 87124
  • Reassigned Medicare billing, New Mexico enrollment
  • 27 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.

Counselor
2504 CAMINO ENTRADA
SANTA FE, NM 87507
Counselor
2504 CAMINO ENTRADA
SANTA FE, NM 87507
Counselor
2504 CAMINO ENTRADA
SANTA FE, NM 87507
Case Manager/Care Coordinator
2504 CAMINO ENTRADA
SANTA FE, NM 87507
Counselor
2504 CAMINO ENTRADA
SANTA FE, NM 87507
Counselor
2504 CAMINO ENTRADA
SANTA FE, NM 87507
Counselor
2504 CAMINO ENTRADA
SANTA FE, NM 87507
Counselor
2504 CAMINO ENTRADA
SANTA FE, NM 87507

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 Todd Nichols's NPI number?

The NPI number for Todd Nichols is 1750779054. It was assigned to this individual provider in the NPPES registry on January 8, 2015.

Where is Todd Nichols located?

Todd Nichols practices at 2504 Camino Entrada, Santa Fe, NM 87507. The listed phone number is (505) 471-5006.

What is Todd Nichols's specialty?

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

Is Todd Nichols enrolled in Medicare?

Yes. Todd 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 organizations bill Medicare for Todd Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Nichols reassigns Medicare benefits to 2 organizations: Santa Fe Psychology, LLC (Santa Fe, NM) and Gd Psych Services, LLC (Rio Rancho, NM). 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 Todd 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 Todd Nichols was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.