KEVIN FITZGERALD NICHOLS
NPI 1144885898
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since May 08, 2019
3340 KEMPER ST STE 105, SAN DIEGO, CA 92110(619) 523-8121(619) 523-8742 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kevin Fitzgerald Nichols NPPES

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

KEVIN FITZGERALD NICHOLS (NPI 1144885898) is an individual addiction (substance use disorder) provider in San Diego, California and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1144885898
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEVIN FITZGERALD NICHOLS
Location Address3340 KEMPER ST STE 105San Diego, CA 92110-4907
Mailing Address3340 Kemper St Ste 105San Diego, CA 92110-4907 · (619) 523-8121
Fax(619) 523-8742
Sole ProprietorNo
Enumeration DateMay 8, 2019
NPI 1144885898 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
3340 KEMPER ST STE 105, San Diego, CA 92110

Other Identifiers 1

Medicaid373781CA

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.

Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
Specialist
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
Specialist
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144885898, enumerated as an "individual" on May 08, 2019.

The provider is located at 3340 KEMPER ST STE 105 SAN DIEGO, CA 92110 and the phone number is (619) 523-8121.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.