PAULINA NICHOLSON LPC
NPI 1801506746
Counselor - Professional in Fort Worth, TX

Active since December 01, 2022Opted out of Medicare · through Feb 20, 2028
1751 RIVER RUN STE 200, FORT WORTH, TX 76107(682) 233-4869 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paulina Nicholson Lpc NPPES

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

PAULINA NICHOLSON LPC (NPI 1801506746) is an individual professional provider in Fort Worth, Texas, licensed in Texas (85899) and active in the NPI registry since December 2022. She has opted out of Medicare through February 20, 2028.

NPPES Registry Identity

NPI1801506746
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NamePAULINA NICHOLSONCredential: LPC
Location Address1751 RIVER RUN STE 200Fort Worth, TX 76107-6670
Mailing Address1704 J T Luther Dr Apt 313Fort Worth, TX 76115-1193 · (817) 733-6739
Sole ProprietorYes
Enumeration DateDecember 1, 2022
NPPES CertifiedDecember 1, 2022
NPI 1801506746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 85899
1751 RIVER RUN STE 200, Fort Worth, TX 76107

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Paulina Nicholson Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 20, 2024 through February 20, 2028.

Opt-Out Effective DateFebruary 20, 2024
Opt-Out In Effect ThroughFebruary 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Behavior Technician
1751 RIVER RUN STE 200
FORT WORTH, TX 76107
Counselor (Mental Health)
1751 RIVER RUN STE 200
FORT WORTH, TX 76107
Counselor (Professional)
1751 RIVER RUN STE 200
FORT WORTH, TX 76107
Nutritionist
1751 RIVER RUN STE 200
FORT WORTH, TX 76107
Counselor (Mental Health)
1751 RIVER RUN STE 200
FORT WORTH, TX 76107
Psychologist (Counseling)
1751 RIVER RUN STE 200
FORT WORTH, TX 76107
Marriage & Family Therapist
1751 RIVER RUN STE 200
FORT WORTH, TX 76107
Psychologist
1751 RIVER RUN STE 200
FORT WORTH, TX 76107

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 Paulina Nicholson's NPI number?

The NPI number for Paulina Nicholson is 1801506746. It was assigned to this individual provider in the NPPES registry on December 1, 2022.

Where is Paulina Nicholson located?

Paulina Nicholson practices at 1751 River Run Ste 200, Fort Worth, TX 76107. The listed phone number is (682) 233-4869.

What is Paulina Nicholson's specialty?

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

Is Paulina Nicholson enrolled in Medicare?

No. Paulina Nicholson has opted out of Medicare through February 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Paulina Nicholson was last updated on December 1, 2022. 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.