Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bornell Nicholson, PHD

Individual provider Counselor · NPI 1295186294

Dr. Bornell Nicholson, PHD is a Marriage and Family Therapist in Spokane, Washington. Qualified in 2020, 6 years ago. Practices with Community Health Association of Spokane, a 223-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5901 N Lidgerwood St Ste 223
Spokane, WA 99208-1122
Phone: (509) 444-8200
Fax: (509) 434-0392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 70 S River St, Aurora, IL 60506-5185 — (630) 844-2662
  • 1007 Church St Ste 302, Evanston, IL 60201-5912 — (630) 450-0625

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LF61468637 (WA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1295186294
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 30, 2016
Last updated in NPPESJuly 19, 2025
Certification dateJuly 19, 2025
Mailing address611 N Iron Bridge Way, Spokane, WA 99202-4932

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Community Health Association Of Spokane — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Spokane