Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Nichols, MS, QMHP, CADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1043529886

Kristen Nichols, MS, QMHP, CADC is a Mental Health Counselor in Dixon, Illinois. Qualified in 2011, 15 years ago. Practices with Sinnissippi Centers Inc, a 33-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2010
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

325 Il Route 2
Dixon, IL 61021-9118
Phone: (815) 284-6611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 25265 (IL)
Mental Health Counselor Taxonomy 101YM0800X (IL)

Record details

NPI number1043529886
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , QMHP , CADC
Sole proprietorYes
NPI enumeratedSeptember 28, 2010
Last updated in NPPESMarch 20, 2014

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Sinnissippi Centers Inc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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