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
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

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.

Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205592607, enumerated as an "individual" on November 10, 2021.

The provider is located at 2514 FIRST AVE KETCHIKAN, AK 99901 and the phone number is (907) 202-8684.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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