MEDICARE: NICKOLAS SCOTT NICHOLS LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFT.0002948	CO
2	106H00000X	Marriage & Family Therapist	0717001454	VA

General Provider Information

NPI Number	:	1760900716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICKOLAS SCOTT NICHOLS LMFT

Provider Business Mailing Address
First Line	:	762 INDEPENDENCE BLVD STE 786
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-6200
Country	:	US
Telephone Number	:	757-493-1514
Fax Number	:

Provider Business Practice Location Address
First Line	:	762 INDEPENDENCE BLVD STE 786
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-6200
Country	:	US
Telephone Number	:	757-493-1514
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2017
Last Update Date	:	06/04/2026

Similar Medicare Providers

1497742795 — DR. ALEX SIYUFY PT
Practice Location Address:

762 INDEPENDENCE BLVD STE 772
VIRGINIA BEACH, VA
23455-6200

Practice Phone: 757-228-5201
Practice Fax: 757-481-6175

1982680898 — MR. JOHN MCNEILL PT
Practice Location Address:

762 INDEPENDENCE BLVD STE 772
VIRGINIA BEACH, VA
23455-6200

Practice Phone: 757-228-5201
Practice Fax: 757-481-6175

1053325340 — DR. ROD MICHAEL ROGGE D.D.S.
Practice Location Address:

762 INDEPENDENCE BLVD , SUITE #500
VIRGINIA BEACH, VA
23455-6200

Practice Phone: 757-333-7444
Practice Fax: 757-962-9470

1063427920 — DR. SARAH TRUSCINSKI ESPARZA D.D.S.
Practice Location Address:

762 INDEPENDENCE BLVD , STE 794
VIRGINIA BEACH, VA
23455-6200

Practice Phone: 757-499-4707
Practice Fax:

1407862568 — PATRICA A. LOTT DDS
Practice Location Address:

762 INDEPENDENCE BLVD STE 794
VIRGINIA BEACH, VA
23455-6200

Practice Phone: 757-499-4707
Practice Fax: 757-499-2158

1295803492 — ML BAWCOM & ASSOCIATES
Practice Location Address:

762 INDEPENDENCE BLVD , SUITE 786
VIRGINIA BEACH, VA
23455-6200

Practice Phone: 757-490-7911
Practice Fax: 757-490-7918

Directions to “ NICKOLAS SCOTT NICHOLS LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.