MARK L NICHOLS LMHC
NPI 1831943109
Counselor - Mental Health in Woodstock, NY

Active since April 15, 2024PECOS Enrolled
15 PINE GROVE ST, WOODSTOCK, NY 12498(917) 494-7066 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark L Nichols Lmhc NPPES

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

MARK L NICHOLS LMHC (NPI 1831943109) is an individual mental health provider in Woodstock, New York, licensed in New York (013267) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1831943109
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMARK L NICHOLSCredential: LMHC
Location Address15 PINE GROVE STWoodstock, NY 12498-1507
Mailing Address19 Meads Mountain RdWoodstock, NY 12498-1032 · (917) 494-7066
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 15, 2024
NPPES CertifiedApril 14, 2024
NPI 1831943109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 013267
15 PINE GROVE ST, Woodstock, NY 12498

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mark L Nichols Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618413550
PECOS Enrollment IDI20240726002455
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 13

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

Psychologist (Clinical)
15 PINE GROVE ST, WOODSTOCK THERAPY CENTER
WOODSTOCK, NY 12498
Nurse Practitioner (Psychiatric/Mental Health)
15 PINE GROVE ST, WOODSTOCK PSYCHIATRIC ADJUNCTIVE SERVICES
WOODSTOCK, NY 12498
Counselor (Mental Health)
15 PINE GROVE ST
WOODSTOCK, NY 12498
Counselor (Mental Health)
15 PINE GROVE ST
WOODSTOCK, NY 12498
Marriage & Family Therapist
15 PINE GROVE ST
WOODSTOCK, NY 12498
Counselor (Mental Health)
15 PINE GROVE ST
WOODSTOCK, NY 12498
Social Worker (Clinical)
15 PINE GROVE ST
WOODSTOCK, NY 12498
Counselor (Mental Health)
15 PINE GROVE ST
WOODSTOCK, NY 12498

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 Mark Nichols's NPI number?

The NPI number for Mark Nichols is 1831943109. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Mark Nichols located?

Mark Nichols practices at 15 Pine Grove St, Woodstock, NY 12498. The listed phone number is (917) 494-7066.

What is Mark Nichols's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mark Nichols enrolled in Medicare?

Yes. Mark Nichols is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Nichols was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.