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DARYL NICHOLS
NPI 1205592607
Counselor - Mental Health in Ketchikan, AK

Active since November 10, 2021
2514 FIRST AVE, KETCHIKAN, AK 99901(907) 202-8684 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Daryl Nichols NPPES

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

DARYL NICHOLS (NPI 1205592607) is an individual mental health provider in Ketchikan, Alaska and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1205592607
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDARYL NICHOLS
Location Address2514 FIRST AVEKetchikan, AK 99901-5804
Mailing AddressPo Box 7475Ketchikan, AK 99901-2475
Phone(907) 202-8684
Sole ProprietorNo
Enumeration DateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
✔ NPI 1205592607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2514 FIRST AVE, Ketchikan, AK 99901
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Other Identifiers 1

Medicaid1713721AK

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.

MR. MICHAEL IANN MARTIN
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 821-8119
MR. MARK JAMES SHERRARD
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MS. KAYLA DAWN EDENSHAW
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MR. SHAUN AURTHER BRYNAERT
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MR. WILLIAM PERRY-CONRAD CANFIELD
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MR. JAMES EDWARD MCDONALD JR.
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MS. SARA LOUISE GRAHAM
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MR. CHARLES C SUCKINAW
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664

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 Daryl Nichols's NPI number?

The NPI number for Daryl Nichols is 1205592607. It was assigned to this individual provider in the NPPES registry on November 10, 2021.

Where is Daryl Nichols located?

Daryl Nichols practices at 2514 First Ave, Ketchikan, AK 99901. The listed phone number is (907) 202-8684.

What is Daryl Nichols's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Daryl Nichols was last updated on November 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.