NIKKI L YOUNG NPI 1407361843

NPI Information

NPI: 1407361843
Provider Name: NIKKI L YOUNG
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
511 PERRY ST
DEFIANCE, OH
ZIP 43512
Phone: (419) 428-3800
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Nikki L Young is a peer specialist in Defiance, OH. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Nikki L Young NPI is 1407361843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

511 PERRY ST
DEFIANCE, OH
ZIP 43512-123
Phone: (419) 428-3800
Fax: (419) 784-2523

The enumeration date for this NPI number is 12/7/2017 and was last updated on 12/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CDCA.162513	OTHER	OHIO	LICENSE
2	W.1600067	OTHER	OHIO	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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