Marti Leeann Nichols, LBHP is a
Psychologist - Addiction (substance Use Disorder) based in Colcord, Oklahoma. Marti Leeann Nichols is licensed to practice in Oklahoma (license number ) and her current practice location is
56577 County Road 660, Colcord, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 864-0353.
NPI number for Marti Leeann Nichols is 1538495692 and her current mailing address is 56577 County Road 660, Colcord, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538495692.
Healthcare Provider's Profile
Full Name | Marti Leeann Nichols |
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Gender | Female |
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Speciality | Psychologist - Addiction (substance Use Disorder) |
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Location | 56577 County Road 660, Colcord, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538495692
- Provider Enumeration Date: 10/26/2009
- Last Update Date: 04/15/2025
Medical Identifiers
Medical identifiers for Marti Leeann Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538495692 | NPI | - | NPPES |
200375130A | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Secondary |
103TA0400X | Psychologist - Addiction (substance Use Disorder) | (Oklahoma) | Primary |
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. Marti Leeann Nichols is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marti Leeann Nichols, LBHP 56577 County Road 660, Colcord, OK 74338-2520 Ph: (918) 864-0353 | Marti Leeann Nichols, LBHP 56577 County Road 660, Colcord, OK 74338-2520 Ph: (918) 864-0353 |
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