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

Mrs. Jean Marie Nichols

Individual provider Peer Specialist · NPI 1780041210

Mrs. Jean Marie Nichols is a Peer Specialist in Coos Bay, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
Specialties on file
4

Practice location Address checks out

2650 Koos Bay Blvd
Coos Bay, OR 97420-2579
Phone: (541) 294-7001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Peer Specialist Taxonomy 175T00000X · Licence 23-CRM-II-0086 (OR)
Case Manager/Care Coordinator Taxonomy 171M00000X (OR)
Mental Health Counselor Taxonomy 101YM0800X (OR)

Record details

NPI number1780041210
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 28, 2016
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023

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