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MR. CLINTON E NICHOLSON MA, LPC
NPI 1770079816
Counselor - Professional in Colorado Springs, CO

Active since July 02, 2018PECOS EnrolledAccepts Medicare Assignment
1259 LAKE PLAZA DR STE 200, COLORADO SPRINGS, CO 80906(719) 622-6522(719) 622-6520 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2025, Jun 4, 2020, Jul 2, 2018 (3 updates tracked since 2018).

About Mr. Clinton E Nicholson Ma, Lpc NPPES

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

MR. CLINTON E NICHOLSON MA, LPC (NPI 1770079816) is an individual professional provider in Colorado Springs, Colorado, licensed in Colorado (0016143) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1770079816
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. CLINTON E NICHOLSONCredential: MA, LPC
Location Address1259 LAKE PLAZA DR STE 200Colorado Springs, CO 80906-3516
Mailing Address1840 Woodmoor Dr Ste 102Monument, CO 80132-9083 · (719) 622-6522 · Fax (719) 622-6520
Phone(719) 622-6522
Fax(719) 622-6520
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 2, 2018
Last NPPES UpdateJune 4, 20253 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1770079816 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 CO · 0016143
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0001759
1259 LAKE PLAZA DR STE 200, Colorado Springs, CO 80906
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11840 Woodmoor Dr Ste 102Monument, CO 80132-9083 · Phone (719) 622-6522 · Fax (719) 622-6520
Location 28580 Scarborough Dr Ste 125Colorado Springs, CO 80920-7584 · Phone (719) 622-6522
Location 31295 Kelly Johnson Blvd Ste 100Colorado Springs, CO 80920-3978 · Phone (719) 622-6522

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

Mr. Clinton E Nicholson Ma, Lpc 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 ID7315489390
PECOS Enrollment IDI20240605002399
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.

Other Providers at the Same Location NPPES

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

EDWIN FAIRFIELD
Physician Assistant
1259 LAKE PLAZA DR STE 200
COLORADO SPRINGS, CO 80906
El Paso County (719) 622-6522

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 Clinton Nicholson's NPI number?

The NPI number for Clinton Nicholson is 1770079816. It was assigned to this individual provider in the NPPES registry on July 2, 2018.

Where is Clinton Nicholson located?

Clinton Nicholson practices at 1259 Lake Plaza Dr Ste 200, Colorado Springs, CO 80906. The listed phone number is (719) 622-6522.

What is Clinton Nicholson's specialty?

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

Is Clinton Nicholson enrolled in Medicare?

Yes. Clinton 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.

When was this NPI record last updated?

The NPPES record for Clinton Nicholson was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.