JESSICA NICOLE TICO
NPI 1154961258
Peer Specialist in Monroe, LA

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since January 07, 2020

4306 S GRAND ST, MONROE, LA 71202(913) 220-3153 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jessica Nicole Tico NPPES

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

JESSICA NICOLE TICO (NPI 1154961258) is an individual peer specialist in Monroe, Louisiana and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1154961258

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameJESSICA NICOLE TICO

Location Address4306 S GRAND STMonroe, LA 71202-6322

Mailing Address8326 Kelwood AveBaton Rouge, LA 70806-4803

Phone(913) 220-3153

Sole ProprietorYes

Enumeration DateJanuary 7, 2020

✔ NPI 1154961258 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.

4306 S GRAND ST, Monroe, LA 71202

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Other Providers at the Same Location NPPES 19

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

MAKYLA CROSSLEY

Case Manager/Care Coordinator