Kim Nicholson, LCPC, NCC, CCTP, PMP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC12633 Issued in MD

Practice address

203 Mable Trce
Madison, AL 35756-4394

Phone

(256) 269-6345

Fax

(256) 542-0079

NPI assigned

Apr 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychological and Counseling AssociatesGroup PAC ID 1052503141, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Now What Therapy LLC

  • Mental Health Counselor
  • Huntsville, AL
  • NPI 1841142882
  Medicare reassignment NPD Authorized official
• Psychological & Counseling Associates

  • Psychologist
  • Huntsville, AL
  • NPI 1194889600
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1689319261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MABLE TRCE",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357564394",
            "telephone_number": "256-269-6345",
            "fax_number": "256-542-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 MABLE TRCE",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357564394",
            "telephone_number": "256-269-6345",
            "fax_number": "256-542-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "KIM",
        "credential": "LCPC, NCC, CCTP, PMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC12633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "LPC05673",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PROFESSIONAL COUNSELORS&THERAPISTS",
            "identifier": "LC12633",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Horizon Home Health Services, LLC
• New Leaf Counseling Services of the TN Valley LLC
• Jennifer Wilbeck Newby, O.D.
• Nichols Panorama Counseling LLC
• Mary Ann Nichols, MS, LPC
• Jessica Gravette Nickens, PHARM. D
• John Niemeyer
• Rhonda Lee Niemeyer, LPC
• Taylor Lauren Noble, MFT
• James M Norris, LMFT

• Professional Counselor in Madison, AL
• Providers in Madison, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.