NICOLE COSTELLO MS.PSY,CRADC,MOUD,CS
NPI 1013526318
Community/Behavioral Health in Joplin, MO

Q: What is Nicole Costello's NPI number?

The NPI number for Nicole Costello is 1013526318. It was assigned to this individual provider in the NPPES registry on July 23, 2020. The provider is also known as Niki Costello Ms.Psy,cradc,moud,cs.

Q: What is Nicole Costello's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Costello was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 23, 2020

2919 E 4TH ST, CORPORATE HOME BASE ASSIGNMENT, JOPLIN, MO 64801(417) 782-7966(417) 624-4558 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2026, Jul 23, 2020 (2 updates tracked since 2020).

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About Nicole Costello Ms.psy,cradc,moud,cs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE COSTELLO MS.PSY,CRADC,MOUD,CS (NPI 1013526318) is an individual community/behavioral health provider in Joplin, Missouri, licensed in Missouri (14770) and active in the NPI registry since July 2020. She maintains 5 additional practice locations.

NPPES Registry Identity

NPI1013526318

Entity TypeIndividualFemale

Primary Taxonomy251S00000X

Provider Legal NameNICOLE COSTELLOCredential: MS.PSY,CRADC,MOUD,CS

Location Address2919 E 4TH ST, CORPORATE HOME BASE ASSIGNMENTJoplin, MO 64801-1625

Mailing Address2919 E 4th StJoplin, MO 64801-1625 · (503) 983-1621 · Fax (417) 624-4558

Phone(417) 782-7966

Fax(417) 624-4558

Sole ProprietorYes

Enumeration DateJuly 23, 2020

Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2026

✔ NPI 1013526318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in MO · 14770

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 14770 (MO)

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 93-6002307 (OR)

Also ListedTechnician, Health InformationTaxonomy 247000000X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 1922 (MO)

Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X · License 14770 (MO)

2919 E 4TH ST, Joplin, MO 64801

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Other Names 1

Other Name (5)Niki Costello Ms.psy,cradc,moud,cs

Secondary Practice Locations 5

Location 11639 Bruce Smith PkwyWest Plains, MO 65775-7691 · Phone (417) 257-1833 · Fax (417) 256-0488

Location 22534 Campbell St Ste BKansas City, MO 64108-2730 · Phone (816) 283-3877 · Fax (816) 283-3310

Location 3404 E Battlefield StSpringfield, MO 65807-4802 · Phone (417) 865-8045 · Fax (417) 865-1007

Location 4204 Kimberly Ct, Remote Home OfficeWashington, MO 63090-5294 · Phone (503) 983-1621

Location 51369 N Westwood BlvdPoplar Bluff, MO 63901-3313 · Phone (573) 772-7937 · Fax (573) 778-1315

Other Identifiers 1

Medicaid122994OR

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHRISTOPHER SAMPSON

Counselor (Addiction (Substance Use Disorder))