Mr Clinton E Nicholson, MA, LPC in Colorado Springs, CO

Mr Clinton E Nicholson, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Colorado Springs, Colorado. His current practice location is 1259 Lake Plaza Dr Ste 200, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 622-6522.

Mr Clinton E Nicholson is licensed to practice in Colorado (license number 0016143) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770079816.

Contact Information

	Mr Clinton E Nicholson, MA, LPC
	1259 Lake Plaza Dr Ste 200, Colorado Springs, CO 80906-3516
	(719) 622-6522
	(719) 622-6520

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Clinton E Nicholson
Gender	Male
Speciality	Counselor - Professional
Location	1259 Lake Plaza Dr Ste 200, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770079816
Provider Enumeration Date: 07/02/2018
Last Update Date: 03/11/2024

Medicare PECOS Information:

PECOS PAC ID: 7315489390
Enrollment ID: I20240605002399

Medical Identifiers

Medical identifiers for Mr Clinton E Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770079816	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	0001759 (* (Not Available))	Secondary
101YP2500X	Counselor - Professional	0016143 (Colorado)	Primary

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. Mr Clinton E Nicholson allows following entities to bill medicare on his behalf.

Entity Name	Colorado Recovery Tms, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225629553 PECOS PAC ID: 2163822511 Enrollment ID: O20210607002840

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. Mr Clinton E Nicholson 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 Address	Practice Location Address
Mr Clinton E Nicholson, MA, LPC 1840 Woodmoor Dr Ste 102, Monument, CO 80132-9083 Ph: (719) 622-6522	Mr Clinton E Nicholson, MA, LPC 1259 Lake Plaza Dr Ste 200, Colorado Springs, CO 80906-3516 Ph: (719) 622-6522

Reviews and Comments

Counselor in Colorado Springs, CO

Elizabeth Anne Beck, LPC CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 2790 N Academy Blvd, Suite 206, Colorado Springs, CO 80917 Phone: 719-596-1530 Fax: 719-559-1130
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Sheila Kelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6340
Robert B. Wenzel, M.A. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4360 Montebello Dr Ste 400, Colorado Springs, CO 80918 Phone: 719-593-9228 Fax: 719-598-1705
Dawn Zink, MA LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4975 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-301-5488
Melissa Beth Smart, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1330 Inverness Dr Ste 400, Colorado Springs, CO 80910 Phone: 970-310-3406

Mr Clinton E Nicholson, MA, LPC - Medicare Counselor in Colorado Springs, CO