Individual provider Active NPI

Nicholas Niemann, LMHC

  • Mental Health Counselor
  • Bremerton, WA
National Provider Identifier
1073984035
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61446105 Issued in WA
Practice address
2314 E 18TH St
Bremerton, WA 98310-5018
Phone
(360) 450-3911
NPI assigned
Oct 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61446105 WA Primary

Addresses

Primary practice location

2314 E 18TH St
Bremerton, WA 98310-5018

Mailing address

2314 E 18TH St
Bremerton, WA 98310-5018
Phone (360) 450-3911

Other identifiers 1

IdentifierTypeStateIssuer
20118867MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112002460 WA Practitioner - Mental Health Counselor 5092166140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCS Counseling Group LLCGroup PAC ID 8224485131, 7 clinicians

Practice addresses (Care Compare)

3888 NW Randall Way
Suite 201
Silverdale, WA 98383-7847
Phone (360) 698-5883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH61446105WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
MCS Counseling Group LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Kyle McKenzie DC Inc PastSince Nov 1, 2023 Accepting new patients

Locations

3888 NW Randall Way
Ste 201
Silverdale, WA 98383
Phone (360) 698-5883

9633 Levin Rd NW
Ste 100
Silverdale, WA 98383
Phone (360) 698-0315

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1073984035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 E 18TH ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983105018",
            "telephone_number": "360-450-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 E 18TH ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983105018",
            "telephone_number": "360-450-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMANN",
        "first_name": "NICHOLAS",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-15",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61446105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20118867",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.