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

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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 NameDawn Allison Nichols
GenderFemale
SpecialityMental Health Counselor
Experience9 Years
Location2570 Nw Edenbower Blvd Ste 100, Roseburg, Oregon
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1134626401NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LPCC.0015477 (Colorado)Secondary
101YP2500XCounselor - Professional C11106 (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mindful Medical And Health Services Llc498109731818

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 NameDna Comprehensive Therapy Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316363757
PECOS PAC ID: 2860619632
Enrollment ID: O20140819001276
Entity NameMindful Medical and Health Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720759954
PECOS PAC ID: 4981097318
Enrollment ID: O20220622001573

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 AddressPractice 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


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Mr. Dale Edward Williams, MC, LPC
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Emily Tucker, LPC NCC
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Dr. Randy Olander, PSYCHOLOGIST
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Inger C Boyd, MA ED., BS
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Amanda O'neal,
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.