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NICHOLS JAMES SMITH CRSS
NPI 1043190523
Peer Specialist in Jacksonville, FL

Active since September 04, 2025
555 STOCKTON ST, JACKSONVILLE, FL 32204(904) 387-4661 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nichols James Smith Crss NPPES

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

NICHOLS JAMES SMITH CRSS (NPI 1043190523) is an individual peer specialist in Jacksonville, Florida and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1043190523
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameNICHOLS JAMES SMITHCredential: CRSS
Location Address555 STOCKTON STJacksonville, FL 32204-2534
Mailing Address555 Stockton StJacksonville, FL 32204-2534 · (904) 387-4661
Phone(904) 387-4661
Sole ProprietorYes
Enumeration DateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1043190523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
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.
555 STOCKTON ST, Jacksonville, FL 32204
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Other Providers at the Same Location NPPES 20

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

ANTWONETTE JOHNSON LPN
Licensed Practical Nurse
555 STOCKTON ST
JACKSONVILLE, FL 32204
Duval County (904) 387-4661
MISS ELIZABETH DENISE JACKSON LPN
Licensed Practical Nurse
555 STOCKTON ST
JACKSONVILLE, FL 32204
Duval County (904) 387-4661
BLONDEVA BETHEL PEER SPECIALIST
Peer Specialist
555 STOCKTON ST
JACKSONVILLE, FL 32204
Duval County (904) 387-4667
DR. CANDACE CLARK HODGKINS LMHC
Counselor (Mental Health)
555 STOCKTON ST
JACKSONVILLE, FL 32204
Duval County (904) 387-4661
GLENN GILBERT LPN
Licensed Practical Nurse
555 STOCKTON ST
JACKSONVILLE, FL 32204
Duval County (904) 387-4661
ORION LIGHTLY CRPS
Peer Specialist
555 STOCKTON ST
JACKSONVILLE, FL 32204
Duval County (904) 577-9908
LAKEISHA GREENE MS
Counselor
555 STOCKTON ST
JACKSONVILLE, FL 32204
Duval County (904) 387-4661
MR. SHAWN W CLARK
Counselor (Mental Health)
555 STOCKTON ST
JACKSONVILLE, FL 32204
Duval County (904) 387-4661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nichols Smith's NPI number?

The NPI number for Nichols Smith is 1043190523. It was assigned to this individual provider in the NPPES registry on September 4, 2025.

Where is Nichols Smith located?

Nichols Smith practices at 555 Stockton St, Jacksonville, FL 32204. The listed phone number is (904) 387-4661.

What is Nichols Smith's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Nichols Smith was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.