Neil Nicholson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

547 E Pine St Ste 201
Central Point, OR 97502-2444

Phone

(541) 423-8151

Fax

(541) 423-8505

NPI assigned

Dec 12, 2011

Sex

Male

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

Opted out of Medicare

Yes, effective Dec 1, 2025 through Dec 1, 2027

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Four Gates Psychotherapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ashland, OR
  • NPI 1700661873
  NPD Authorized official

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1720356298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 OHARE PKWY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044005",
            "telephone_number": "541-414-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 E PINE ST STE 201",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022444",
            "telephone_number": "541-423-8151",
            "fax_number": "541-423-8505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 Airport Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975044159",
            "country_code": "US",
            "telephone_number": "541-200-2900",
            "fax_number": "541-200-2948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "NEIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Diane Neilson, NP
• Steven A Nelson, DDS
• Chloe Anh Nguyen
• Nhi Opco Central Point Or, LLC (Pear Valley Senior Living)
• Nicholas Senior Services, Inc. (Home Instead Senior Care)
• Crystal Arnold Niedermeyer, L.M.T
• Northwest Hospice, LLC (Signature Healthcare at Home)
• Monique Anntoinette Noyes, FNP NP-PP
• Joey Marie Nunnelee
• Nicole Nygren, LMT

• Clinical Social Worker in Central Point, OR
• Providers in Central Point, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.
• 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.