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

Kim Nicholson, LCPC, NCC, CCTP, PMP

Individual provider Professional Counselor · NPI 1689319261

Kim Nicholson, LCPC, NCC, CCTP, PMP is a Mental Health Counselor in Madison, Alabama. Qualified in 2018, 8 years ago. Practices with Psychological and Counseling Associates, a 4-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2022
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

203 Mable Trce
Madison, AL 35756-4394
Phone: (256) 269-6345
Fax: (256) 542-0079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LC12633 (MD)

Record details

NPI number1689319261
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC , NCC , CCTP , PMP
Sole proprietorYes
NPI enumeratedApril 28, 2022
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Psychological And Counseling Associates — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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