Mackenzie Nickerson, LADC, CCS
NPI 1336761444ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Biddeford, ME
Counselor, Addiction (Substance Use Disorder) (LADC, CCS) in Biddeford, Maine, licensed in ME, with an NPI issued in May 2020.
Overview
| NPI | 1336761444 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LADC, CCS |
| Sole proprietor | No |
| NPI issued | May 12, 2020 |
| Last updated in NPPES | Jun 19, 2024 |
| Certified by provider | Jun 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | LC7602 | ME |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | CCS7931 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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