Mr. Jasen Ralph Nichols, MA
Mr. Jasen Ralph Nichols, MA is a Mental Health Counselor in Ellenboro, West Virginia. Qualified in 2005, 21 years ago. Practices with Ritchie County Primary Care Assoc Inc, a 16-clinician group and accepts Medicare assignment. Licensed in West Virginia.
- Years since qualifying
- 21
- Licensed in
- WV
- In the registry since
- 2012
What do these letters mean?
- MA — Master of Arts
- A graduate arts degree.
Practice location Address checks out
201 Ritchie County School RdEllenboro, WV 26346-6704
Phone: (304) 869-3650
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 1011 (WV) |
|---|
Record details
| NPI number | 1528332921 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MA |
| Sole proprietor | No |
| NPI enumerated | March 2, 2012 |
| Last updated in NPPES | April 10, 2026 |
| Certification date | April 10, 2026 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Ritchie County Primary Care Assoc Inc — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |