| Mr Todd Nichols, LPCC | |
|
2504 Camino Entrada, Santa Fe, NM 87507-4851 | |
| (505) 471-5006 | |
| Not Available |
| Full Name | Mr Todd Nichols |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | 2504 Camino Entrada, Santa Fe, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750779054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0176261 (New Mexico) | Secondary |
| 101YP2500X | Counselor - Professional | CCMH0221261 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gd Psych Services, Llc | 6204260474 | 18 |
| Entity Name | Gd Psych Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801379433 PECOS PAC ID: 6204260474 Enrollment ID: O20191220001167 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Todd Nichols, LPCC 2504 Camino Entrada, Santa Fe, NM 87507-4851 Ph: () - | Mr Todd Nichols, LPCC 2504 Camino Entrada, Santa Fe, NM 87507-4851 Ph: (505) 471-5006 |
Kim M Servent, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601a Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-954-8786 Fax: 505-954-8794 | |
Leonard Tischler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1904 San Ildefonso Rd, Santa Fe, NM 87505 Phone: 505-471-4985 | |
Ralph E Flores, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2504 Camino Entrada, Santa Fe, NM 87507 Phone: 505-471-5006 | |
Susan C Rivera, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2504 Camino Entrada, Santa Fe, NM 87507 Phone: 505-471-5006 | |
Paula Strongheart, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2960 Rodeo Park Dr W, Santa Fe, NM 87505 Phone: 505-986-9633 | |
Suzanne Salladin, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2504 Camino Entrada, Santa Fe, NM 87507 Phone: 505-471-5006 | |
Lisa Barnes, MA PSY, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13 Old Agua Fria Rd E, Santa Fe, NM 87508 Phone: 505-988-1169 |