Active NPI
Lynn Ann Nichols, MSW
- Mental Health Counselor
- Concord, MA
National Provider Identifier
1801964879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 105056
- Practice address
- 26 Pond View LN
Concord, MA 01742-1737 - Phone
- (978) 369-2390
- Fax
- (978) 371-0971
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 105056 | MA | Primary |
Addresses
Primary practice location
26 Pond View LN
Concord, MA 01742-1737
Mailing address
26 Pond View LN
Concord, MA 01742-1737
Phone (978) 369-2390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090415000139 | MA | Practitioner - Clinical Social Worker | 1456408103 | Practice locations: Dover, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Connecticut School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9 Centre St
Dover, MA 02030-2203
Phone (978) 369-2390
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105056 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801964879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 POND VIEW LN",
"city": "CONCORD",
"state": "MA",
"postal_code": "017421737",
"telephone_number": "978-369-2390",
"fax_number": "978-371-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 POND VIEW LN",
"city": "CONCORD",
"state": "MA",
"postal_code": "017421737",
"telephone_number": "978-369-2390",
"fax_number": "978-371-0971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "LYNN",
"middle_name": "ANN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "105056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.