Kristen Nichols, MS, QMHP, CADC
NPI 1043529886ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Dixon, IL
Counselor, Addiction (Substance Use Disorder) (MS, QMHP, CADC) with Sinnissippi Centers Inc, practicing in Dixon, Illinois. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1043529886 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, QMHP, CADC |
| Sole proprietor | Yes |
| NPI issued | Sep 28, 2010 |
| Last updated in NPPES | Mar 20, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | 25265 | IL |
| Counselor, Mental Health | 101YM0800X | — | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (IL) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Sinnissippi Centers IncDixon, IL · 30 clinicians
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