MR. CLINTON E NICHOLSON (MA, LPC) – Mental Health Counselor, NPI 1770079816
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,207 MENTAL HEALTH COUNSELOR in CO
Provider Addresses for MR. CLINTON E NICHOLSON (MA, LPC)
1840 WOODMOOR DR STE 102
MONUMENT, CO 801329083
Phone: (719) 622-6522
Fax: (719) 622-6520
Type: Mailing
1259 LAKE PLAZA DR STE 200
COLORADO SPRINGS, CO 809063516
Phone: (719) 622-6522
Fax: (719) 622-6520
Type: Location
290, North Academy Boulevard, Colorado Springs, El Paso County, Colorado, 80909, United States
COLORADO SPRINGS, CO 809184038
Phone: (719) 434-2061
Fax: (719) 434-2275
Type: Location
8580 Scarborough Dr Ste 125
Colorado Springs, CO 809207584
Phone: (719) 622-6522
Type: Location
1840 Woodmoor Dr Ste 102
Monument, CO 801329083
Phone: (719) 622-6522
Fax: (719) 622-6520
Type: Location
1295 Kelly Johnson Blvd Ste 100
Colorado Springs, CO 809203978
Phone: (719) 622-6522
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240605002399 | I | Mental Health Counselor | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80132)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CO | |
| Emergency Medicine | OH | |
| Mental Health Counselor | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Mental Health Counselor | CO | |
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| Marriage And Family Therapist | CO |
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