Dawn Allison Nichols, LPC in Roseburg, OR - Medicare Mental Health Counselor Provider

Dawn Allison Nichols, LPC is a medicare enrolled "Counselor - Professional" provider in Roseburg, Oregon. She graduated from healthcare school in 2017 and has 9 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Mindful Medical And Health Services Llc and her current practice location is 2570 Nw Edenbower Blvd Ste 100, Roseburg, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 677-7200.

Dawn Allison Nichols is licensed to practice in Oregon (license number C11106) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134626401.

Contact Information

	Dawn Allison Nichols, LPC
	2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214
	(541) 677-7200
	(541) 229-3309

Map and Direction

Healthcare Provider's Profile

Full Name	Dawn Allison Nichols
Gender	Female
Speciality	Mental Health Counselor
Experience	9 Years
Location	2570 Nw Edenbower Blvd Ste 100, Roseburg, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dawn Allison Nichols graduated from medical school in 2017

NPI Data:

NPI Number: 1134626401
Provider Enumeration Date: 04/12/2018
Last Update Date: 04/01/2026

Medicare PECOS Information:

PECOS PAC ID: 1456797356
Enrollment ID: I20240314000798

Medical Identifiers

Medical identifiers for Dawn Allison Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134626401	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPCC.0015477 (Colorado)	Secondary
101YP2500X	Counselor - Professional	C11106 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mindful Medical And Health Services Llc	4981097318	17

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dawn Allison Nichols allows following entities to bill medicare on her behalf.

Entity Name	Dna Comprehensive Therapy Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dawn Allison Nichols is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dawn Allison Nichols, LPC 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 Ph: (541) 677-7200	Dawn Allison Nichols, LPC 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 Ph: (541) 677-7200

Reviews and Comments

Counselor in Roseburg, OR

Elisabeth Erin Payne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Se Jackson St, Roseburg, OR 97470 Phone: 541-464-6660
Cyndra Krogen Morton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3005 Ne Diamond Lake Blvd, Roseburg, OR 97470 Phone: 541-440-3532 Fax: 541-440-3554
Mr. Dale Edward Williams, MC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 Fax: 541-440-3554
Emily Tucker, LPC NCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-672-2691
Inger C Boyd, MA ED., BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 Fax: 541-440-3554
Mae L Hoopes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-672-2691 Fax: 541-673-5642
Jennifer Diane Lowry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 Fax: 541-440-3554

Dawn Allison Nichols, LPC - Medicare Counselor in Roseburg, OR