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

Michael B. Nicholson Jr., LPCC

Individual provider Professional Counselor · NPI 1043457609

Michael B. Nicholson Jr., LPCC is a Mental Health Counselor in Paducah, Kentucky. Qualified in 2011, 15 years ago. Practices with Western Ky Regional Mhmr Board Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
15
Licensed in
KY
In the registry since
2009
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

425 Broadway St Ste 201
Paducah, KY 42001-0713
Phone: (270) 442-7121
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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 162814 (KY)

Record details

NPI number1043457609
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorNo
NPI enumeratedJanuary 19, 2009
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024
Mailing address104 S Front Ave, Prestonsburg, KY 41653-1614

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 Western Ky Regional Mhmr Board Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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