Josephine Anna Nickum, M.E.D., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60947420 Issued in WA

Practice address

3888 NW Randall Way Ste 201
Silverdale, WA 98383-7847

Phone

(360) 698-5883

Fax

(360) 698-5883

NPI assigned

Aug 9, 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

Other identifiers 1

Other names 1

• Josie Anna Nickum Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 9, 2024 through Oct 9, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• MCS Counseling Group LLC

  • Mental Health Counselor
  • Silverdale, WA
  • NPI 1740727494
  NPD
• Kyle McKenzie DC Inc

  dba Silver Sound Chiropractic

  • Chiropractor
  • Silverdale, WA
  • NPI 1487254645
  NPD (past)

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1598280661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3888 NW RANDALL WAY STE 201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837847",
            "telephone_number": "360-698-5883",
            "fax_number": "360-809-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3888 NW RANDALL WAY STE 201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837847",
            "telephone_number": "360-698-5883",
            "fax_number": "360-698-5883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Commercial Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Anacortes",
            "state": "WA",
            "postal_code": "982211700",
            "country_code": "US",
            "telephone_number": "425-655-7935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKUM",
        "first_name": "JOSEPHINE",
        "middle_name": "ANNA",
        "credential": "M.E.D., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60947420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2116270",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSIE",
            "last_name": "NICKUM",
            "middle_name": "ANNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Niazi & Sharaki PLLC (Puget Sound Endodontics & Associates)
• Arash Niazi Sharaki, DDS
• Allan Romine Nichols, P.T.
• Thomas Walter Nichols
• Stefanie Nickels, HIS
• Marisa Rika Nielsen
• Jason Niemeyer, D.D.S.
• Janet Bernice Nite, RBT
• Evelyn Noel
• Matthew Nolen, IDC

• Mental Health Counselor in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.