Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE COSTELLO, MS.PSY,CRADC,MOUD,CS
Active Sole ProprietorNICOLE COSTELLO, MS.PSY,CRADC,MOUD,CS is a Community/Behavioral Health healthcare provider located in JOPLIN, Missouri. NPI 1013526318 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · JOPLIN, MO
Registration Details
- NPI Number
- 1013526318
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2020 (6.0809348183616 yrs)
- Last Updated
- Jan 7, 2026
- Licenses
-
14770 (MO)93-6002307 (OR)1922 (MO)14770 (MO)14770 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2919 E 4TH STCORPORATE HOME BASE ASSIGNMENTJOPLIN, MO, 648011625Browse MO providers · Browse ZIP 64801
- Phone
- 4177827966
- Fax
- 4176244558
- Primary Specialty
-
Community/Behavioral Health
251S00000X
- Additional Specialty
- Case Manager
- Additional Specialty
- Adult Mental Health Clinic
- Additional Specialty
- Methadone Clinic
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.