Deborah Elizabeth Nichols, MS, LPC INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5319 SW Westgate Dr Ste 113
Portland, OR 97221-2432

Phone

(971) 330-2865

NPI assigned

Dec 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1447765524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 NW 186TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292002",
            "telephone_number": "805-835-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 SW WESTGATE DR STE 113",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212432",
            "telephone_number": "971-330-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "DEBORAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay A Nichols Hughes
• Amanda Rae Nichols, CD(DONA)
• Benjamin Francis Nichols
• Dane J Nichols, MD
• David S. Nichols, PH.D.
• Elizabeth Claire Nichols, RD
• Emma Elaine Nichols
• Gwenyth Arwen Nichols, MA
• Jason Matthew Nichols
• Joseph Kilmer Nichols

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.