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NICHOLAS SHEPHERD LCDC III
NPI 1053885939
Counselor - Addiction (Substance Use Disorder) in Columbus, OH

Active since January 14, 2019
4998 W BROAD ST STE 104, COLUMBUS, OH 43228(614) 754-8051 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2021, Jan 14, 2019 (2 updates tracked since 2019).

About Nicholas Shepherd Lcdc Iii NPPES

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

NICHOLAS SHEPHERD LCDC III (NPI 1053885939) is an individual addiction (substance use disorder) provider in Columbus, Ohio, licensed in Ohio (162159) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1053885939
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameNICHOLAS SHEPHERDCredential: LCDC III
Location Address4998 W BROAD ST STE 104Columbus, OH 43228-1647
Mailing Address4998 W Broad St Ste 104Columbus, OH 43228-1647 · (614) 754-8051
Phone(614) 754-8051
Sole ProprietorYes
Enumeration DateJanuary 14, 2019
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
✔ NPI 1053885939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 162159
4998 W BROAD ST STE 104, Columbus, OH 43228
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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.

CECELIA MOORE
Counselor (Addiction (Substance Use Disorder))
4998 W BROAD ST STE 104
COLUMBUS, OH 43228
Franklin County (614) 752-8051
LINDSAY THOMAS
Social Worker
4998 W BROAD ST STE 104
COLUMBUS, OH 43228
Franklin County (614) 754-8051
MEGAN FREEMAN LCDC III, QMHS3
Counselor (Addiction (Substance Use Disorder))
4998 W BROAD ST STE 104
COLUMBUS, OH 43228
Franklin County (614) 962-6179
FREEDOM RECOVERY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4998 W BROAD ST STE 104
COLUMBUS, OH 43228
Franklin County (614) 754-8051
LISA A LAVELLE M.ED., LSW, LICDC-CS
Counselor (Addiction (Substance Use Disorder))
4998 W BROAD ST STE 104
COLUMBUS, OH 43228
Franklin County (614) 754-8051
DEBRA JEAN KINGSEED
Counselor (Addiction (Substance Use Disorder))
4998 W BROAD ST STE 104
COLUMBUS, OH 43228
Franklin County (614) 754-8051
JESHUA BURWELL LCDC III
Counselor (Addiction (Substance Use Disorder))
4998 W BROAD ST STE 104
COLUMBUS, OH 43228
Franklin County (614) 754-8051
MICHAELA MILLER
Counselor (Addiction (Substance Use Disorder))
4998 W BROAD ST STE 104
COLUMBUS, OH 43228
Franklin County (888) 890-3779

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 Nicholas Shepherd's NPI number?

The NPI number for Nicholas Shepherd is 1053885939. It was assigned to this individual provider in the NPPES registry on January 14, 2019.

Where is Nicholas Shepherd located?

Nicholas Shepherd practices at 4998 W Broad St Ste 104, Columbus, OH 43228. The listed phone number is (614) 754-8051.

What is Nicholas Shepherd's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Nicholas Shepherd was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.