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

John Nicholas

Individual provider Mental Health Counselor · NPI 1154747608

John Nicholas is a Mental Health Counselor in Lacey, Washington. Qualified in 2015, 11 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
11
Licensed in
WA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

1905 Lebanon St SE
Lacey, WA 98503-2727
Phone: (360) 280-8374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence LH6149071 (WA)

Record details

NPI number1154747608
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 7, 2014
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing address1905 Lebanon St Se, Lacey, WA 98503-2727

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lacey