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MRS. JEAN MARIE NICHOLS
NPI 1780041210
Counselor - Addiction (Substance Use Disorder) in Coos Bay, OR

Active since January 28, 2016
2650 KOOS BAY BLVD, COOS BAY, OR 97420(541) 294-7001 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 22, 2023, Jan 28, 2016 (2 updates tracked since 2016).

About Mrs. Jean Marie Nichols NPPES

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

MRS. JEAN MARIE NICHOLS (NPI 1780041210) is an individual addiction (substance use disorder) provider in Coos Bay, Oregon and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1780041210
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. JEAN MARIE NICHOLS
Location Address2650 KOOS BAY BLVDCoos Bay, OR 97420-2579
Mailing Address1610 Johnson StNorth Bend, OR 97459-1936 · (541) 217-1514
Phone(541) 294-7001
Sole ProprietorNo
Enumeration DateJanuary 28, 2016
Last NPPES UpdateJune 22, 20232 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
✔ NPI 1780041210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedPeer SpecialistTaxonomy 175T00000X · License 23-CRM-II-0086 (OR)
2650 KOOS BAY BLVD, Coos Bay, OR 97420
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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 Jean Nichols's NPI number?

The NPI number for Jean Nichols is 1780041210. It was assigned to this individual provider in the NPPES registry on January 28, 2016.

Where is Jean Nichols located?

Jean Nichols practices at 2650 Koos Bay Blvd, Coos Bay, OR 97420. The listed phone number is (541) 294-7001.

What is Jean Nichols's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jean Nichols was last updated on June 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.