MRS. KATHRYN LYNN NICHOLAS
NPI 1760707350
Marriage & Family Therapist in Salem, OR

Active since April 07, 2010PECOS Enrolled
2645 PORTLAND RD NE, STE 120, SALEM, OR 97301(503) 390-5637(503) 393-3135 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Kathryn Lynn Nicholas NPPES

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

MRS. KATHRYN LYNN NICHOLAS (NPI 1760707350) is an individual marriage & family therapist in Salem, Oregon, licensed in Oregon (T0943) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760707350
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. KATHRYN LYNN NICHOLAS
Location Address2645 PORTLAND RD NE, STE 120Salem, OR 97301-0198
Mailing Address2645 Portland Rd Ne, Ste 120Salem, OR 97301-0198 · (503) 390-5637 · Fax (503) 393-3135
Fax(503) 393-3135
Sole ProprietorNo
Enumeration DateApril 7, 2010
Last NPPES UpdateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1760707350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in OR · T0943
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2645 PORTLAND RD NE, Salem, OR 97301

Other Names 1

Former Name (1)Ms. Kathryn Lynn Anderson

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kathryn Lynn Nicholas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kathryn Nicholas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
360 E 10TH AVE STE 450
Eugene, OR 97401
  • Reassigned Medicare billing, Oregon enrollment
  • 53 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
2645 PORTLAND RD NE, #120
SALEM, OR 97301
Counselor (Mental Health)
2645 PORTLAND RD NE
SALEM, OR 97301
Counselor
2645 PORTLAND RD NE
SALEM, OR 97301
Counselor (Professional)
2645 PORTLAND RD NE, SUITE 120
SALEM, OR 97301
Counselor
2645 PORTLAND RD NE, #120
SALEM, OR 97301
Counselor
2645 PORTLAND RD NE, SUITE 120
SALEM, OR 97301
Counselor
2645 PORTLAND RD NE
SALEM, OR 97301
Counselor
2645 PORTLAND RD NE, STE. 120
SALEM, OR 97301

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 Kathryn Nicholas's NPI number?

The NPI number for Kathryn Nicholas is 1760707350. It was assigned to this individual provider in the NPPES registry on April 7, 2010. The provider is also known as Ms. Kathryn Lynn Anderson.

Where is Kathryn Nicholas located?

Kathryn Nicholas practices at 2645 Portland Rd NE Ste 120, Salem, OR 97301. The listed phone number is (503) 390-5637.

What is Kathryn Nicholas's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kathryn Nicholas enrolled in Medicare?

Yes. Kathryn Nicholas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathryn Nicholas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Nicholas reassigns Medicare benefits to Options Counseling Services Of Oregon (Eugene, OR). 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 Kathryn Nicholas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Nicholas accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Kathryn Nicholas 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 Kathryn Nicholas was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.