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MADELINE NICKLAS CPSS
NPI 1316555329
Peer Specialist in Gulfport, MS

Active since July 15, 2020
1600 BROAD AVE, GULFPORT, MS 39501(228) 863-1132 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madeline Nicklas Cpss NPPES

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

MADELINE NICKLAS CPSS (NPI 1316555329) is an individual peer specialist in Gulfport, Mississippi and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1316555329
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMADELINE NICKLASCredential: CPSS
Location Address1600 BROAD AVEGulfport, MS 39501-3603
Mailing AddressPo Box 6705Gulfport, MS 39506-6705 · (228) 865-1330
Phone(228) 863-1132
Sole ProprietorNo
Enumeration DateJuly 15, 2020
NPPES CertifiedJuly 15, 2020
✔ NPI 1316555329 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.
1600 BROAD AVE, Gulfport, MS 39501
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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.

JUNE BOUDREAUX CPSS
Peer Specialist
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
KRYSTAL RICE
Counselor
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 213-5888
CYNTHIA WILLETT PCMHT
Counselor (Mental Health)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
MS. RITA A RADEMACHER LMSW
Social Worker
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
CATHERINE JONES LMFT
Marriage & Family Therapist
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
KATHY ULLAND P-LPC
Counselor (Mental Health)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (122) 886-5133
KATRINA GRIFFITH LPC
Counselor (Professional)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
CHRISTINA MARIE LADD LMHC
Counselor (Professional)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132

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 Madeline Nicklas's NPI number?

The NPI number for Madeline Nicklas is 1316555329. It was assigned to this individual provider in the NPPES registry on July 15, 2020.

Where is Madeline Nicklas located?

Madeline Nicklas practices at 1600 Broad Ave, Gulfport, MS 39501. The listed phone number is (228) 863-1132.

What is Madeline Nicklas'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 Madeline Nicklas was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.