ANTHONY NICHOLS (M.A. LCPC) – Mental Health Counselor, NPI 1639532369

ANTHONY NICHOLS (M.A. LCPC) is a healthcare provider. based in Savoy, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.A. LCPC. They hold a License No. 180011713 (IL). The NPI Number for ANTHONY NICHOLS (M.A. LCPC) is 1639532369

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY NICHOLS (M.A. LCPC)
NPI
1639532369
Phone
(217) 417-1701
Address
1810 WOODFIELD DR STE 201
Enumeration Date
31 March 2016
Last Update Date
26 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2177512231
Graduation Year
2015 (11 years ago)
PAC ID
8527406701
Professional Enrollment ID
I20240408000188
Address ID
IL618749506SA1800XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for ANTHONY NICHOLS (M.A. LCPC)

  • Woodfield Drive, Savoy, Champaign County, Illinois, 61820-7406, United States

    SAVOY, IL 618749377

    Phone: (217) 417-1701

    Mailing address matches the actual address.

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: 2024-04-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240408000188IMental Health CounselorILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 61874)

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Reviews

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Frequently asked questions

Is ANTHONY NICHOLS (M.A. LCPC) listed with a National Provider Identifier?
Yes — ANTHONY NICHOLS (M.A. LCPC) has NPI 1639532369 on file in the registry.
Is ANTHONY NICHOLS (M.A. LCPC) still an active registrant?
ANTHONY NICHOLS (M.A. LCPC) carries an active NPI according to the public dataset.
What kind of doctor is ANTHONY NICHOLS (M.A. LCPC)?
ANTHONY NICHOLS (M.A. LCPC) is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is ANTHONY NICHOLS (M.A. LCPC) associated with Savoy?
Public fields place ANTHONY NICHOLS (M.A. LCPC) around Savoy, Illinois. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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