Jasen Nichols, M.A.
NPI 1528332921 · Clinical Psychologist · Ellenboro, WV
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jasen Nichols, M.A. is a Clinical Psychologist provider in Ellenboro, WV (NPI 1528332921).
Provider details
- NPI number
- 1528332921
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- M.A.
- Sex
- Male
- Sole proprietor
- No
- License
- 1011 (WV)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-03-02
- Last updated
- 2026-04-10
- Certified
- 2026-04-10
Frequently asked questions
- What is Jasen Nichols's NPI number?
- Jasen Nichols's National Provider Identifier (NPI) is 1528332921, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jasen Nichols's specialty?
- Jasen Nichols is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jasen Nichols located?
- Jasen Nichols's practice location on file with NPPES is 201 Ritchie County School Rd, Ellenboro, WV 26346-6704.
- What is Jasen Nichols's phone number?
- The practice phone number listed in the NPPES registry for Jasen Nichols is (304) 869-3650.
- Does Jasen Nichols accept Medicare?
- Jasen Nichols is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jasen Nichols's NPI active?
- Yes — Jasen Nichols's NPI (1528332921) is active in the NPPES registry as of the last update on 2026-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.