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BREAH N NICHOLS LCDC III
NPI 1073014882
Counselor - Addiction (Substance Use Disorder) in Jackson, OH

Active since February 27, 2018
120 TWIN OAKS DR, JACKSON, OH 45640(740) 577-3450(740) 577-3496 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 24, 2025, Jun 16, 2018, Feb 27, 2018 (3 updates tracked since 2018).

About Breah N Nichols Lcdc Iii NPPES

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

BREAH N NICHOLS LCDC III (NPI 1073014882) is an individual addiction (substance use disorder) provider in Jackson, Ohio, licensed in Ohio (165237) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1073014882
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBREAH N NICHOLSCredential: LCDC III
Location Address120 TWIN OAKS DRJackson, OH 45640-9828
Mailing AddressPo Box 724Athens, OH 45701-0724 · (740) 592-6724 · Fax (740) 592-6728
Phone(740) 577-3450
Fax(740) 577-3496
Sole ProprietorNo
Enumeration DateFebruary 27, 2018
Last NPPES UpdateNovember 24, 20253 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1073014882 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 · 165237
120 TWIN OAKS DR, Jackson, OH 45640
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Other Identifiers 1

Medicaid2864002OH

Other Providers at the Same Location NPPES 2

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

KAITLYN BARRETT RN
Registered Nurse
120 TWIN OAKS DR
JACKSON, OH 45640
Jackson County (740) 577-3450
REBECCA MICHELLE FANNIN CT, LCDC III
Counselor (Professional)
120 TWIN OAKS DR
JACKSON, OH 45640
Jackson County (740) 570-3450

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 Breah Nichols's NPI number?

The NPI number for Breah Nichols is 1073014882. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Where is Breah Nichols located?

Breah Nichols practices at 120 Twin Oaks Dr, Jackson, OH 45640. The listed phone number is (740) 577-3450.

What is Breah Nichols'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 Breah Nichols was last updated on November 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.