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DYLAN BLADE NICHOLAS KCPSS
NPI 1073380184
Peer Specialist in Campbellsville, KY

Active since December 08, 2023
451 QUISENBERRY RD, CAMPBELLSVILLE, KY 42718(270) 937-4898 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dylan Blade Nicholas Kcpss NPPES

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

DYLAN BLADE NICHOLAS KCPSS (NPI 1073380184) is an individual peer specialist in Campbellsville, Kentucky, licensed in Kentucky (1208146) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1073380184
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameDYLAN BLADE NICHOLASCredential: KCPSS
Location Address451 QUISENBERRY RDCampbellsville, KY 42718-8005
Mailing Address109 Kensington WayCampbellsville, KY 42718-9548 · (270) 849-8199
Phone(270) 937-4898
Sole ProprietorNo
Enumeration DateDecember 8, 2023
NPPES CertifiedDecember 8, 2023
✔ NPI 1073380184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in KY · 1208146
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.
451 QUISENBERRY RD, Campbellsville, KY 42718
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Other Providers at the Same Location NPPES 3

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

GREEN RIVER HORIZONS
Substance Abuse Rehabilitation Facility
451 QUISENBERRY RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 937-4898
BLUEGRASS HORIZON LLC
Substance Abuse Rehabilitation Facility
451 QUISENBERRY RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 403-1708
JUDITH ANN CURRY LCADC
Counselor (Addiction (Substance Use Disorder))
451 QUISENBERRY RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 937-4898

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 Dylan Nicholas's NPI number?

The NPI number for Dylan Nicholas is 1073380184. It was assigned to this individual provider in the NPPES registry on December 8, 2023.

Where is Dylan Nicholas located?

Dylan Nicholas practices at 451 Quisenberry Rd, Campbellsville, KY 42718. The listed phone number is (270) 937-4898.

What is Dylan Nicholas'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 Dylan Nicholas was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.