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MR. NICHOLAS NORDBERG
NPI 1891212080
Counselor - Mental Health in Auburn, WA

Active since August 28, 2017Opted out of Medicare · through Apr 2, 2028
4238 AUBURN WAY N, AUBURN, WA 98002(253) 876-7600(253) 876-7610 Get Directions Write a Review

NPPES record last updated: July 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2018, Aug 28, 2017 (2 updates tracked since 2017).

About Mr. Nicholas Nordberg NPPES

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

MR. NICHOLAS NORDBERG (NPI 1891212080) is an individual mental health provider in Auburn, Washington and active in the NPI registry since August 2017. He has opted out of Medicare through April 2, 2028.

NPPES Registry Identity

NPI1891212080
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. NICHOLAS NORDBERG
Location Address4238 AUBURN WAY NAuburn, WA 98002
Mailing Address6400 Southcenter BlvdTukwila, WA 98188-2547 · (206) 901-2000 · Fax (206) 901-2010
Phone(253) 876-7600
Fax(253) 876-7610
Sole ProprietorNo
Enumeration DateAugust 28, 2017
Last NPPES UpdateJuly 2, 20182 updates tracked since enumeration
✔ NPI 1891212080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4238 AUBURN WAY N, Auburn, WA 98002
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Nicholas Nordberg 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 April 2, 2024 through April 2, 2028.

Opt-Out Effective DateApril 2, 2024
Opt-Out In Effect ThroughApril 2, 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.

JULIA ROSALIND AQUINO LUMAUIG
Counselor
4238 AUBURN WAY N
AUBURN, WA 98002
King County (253) 876-7600
IRENE WAIBARA
Counselor
4238 AUBURN WAY N
AUBURN, WA 98002
King County (206) 901-2000
TRISHELLE ROSE EDWARDS
Counselor
4238 AUBURN WAY N, SOUND MENTAL HEALTH
AUBURN, WA 98002
King County (253) 876-7600
KATIE DUFF
Social Worker
4238 AUBURN WAY N
AUBURN, WA 98002
King County (206) 901-2000
BRENDA LYNN FOWLER-LONGORIA PEER COUNSELOR
Counselor
4238 AUBURN WAY N
AUBURN, WA 98002
King County (253) 876-7600
ASHNIKA ASHMINTA NATH
Counselor
4238 AUBURN WAY N
AUBURN, WA 98002
King County (206) 901-2000
CYNTHIA M TUMELSON BA, CDP
Counselor (Addiction (Substance Use Disorder))
4238 AUBURN WAY N
AUBURN, WA 98002
King County (253) 876-7600
ESSI KOUDOHA
Counselor
4238 AUBURN WAY N
AUBURN, WA 98002
King County (206) 901-2000

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 Nicholas Nordberg's NPI number?

The NPI number for Nicholas Nordberg is 1891212080. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Where is Nicholas Nordberg located?

Nicholas Nordberg practices at 4238 Auburn Way N, Auburn, WA 98002. The listed phone number is (253) 876-7600.

What is Nicholas Nordberg's specialty?

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

Is Nicholas Nordberg enrolled in Medicare?

No. Nicholas Nordberg has opted out of Medicare through April 2, 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 Nicholas Nordberg was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.