NICHOLE MADDOCK
NPI 1447947783
Peer Specialist in Klamath Falls, OR

Active since April 18, 2023
3203 VANDENBERG RD, KLAMATH FALLS, OR 97603(541) 883-1030 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nichole Maddock NPPES

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

NICHOLE MADDOCK (NPI 1447947783) is an individual peer specialist in Klamath Falls, Oregon and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1447947783
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameNICHOLE MADDOCK
Location Address3203 VANDENBERG RDKlamath Falls, OR 97603-3778
Mailing Address2210 N Eldorado AveKlamath Falls, OR 97601-6418 · (541) 883-1030
Sole ProprietorNo
Enumeration DateApril 18, 2023
NPPES CertifiedApril 18, 2023
NPI 1447947783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3203 VANDENBERG RD, Klamath Falls, OR 97603

Other Providers at the Same Location NPPES 4

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

Counselor (Addiction (Substance Use Disorder))
3203 VANDENBERG RD
KLAMATH FALLS, OR 97603
Social Worker
3203 VANDENBERG RD
KLAMATH FALLS, OR 97603
Case Manager/Care Coordinator
3203 VANDENBERG RD
KLAMATH FALLS, OR 97603
Counselor
3203 VANDENBERG RD
KLAMATH FALLS, OR 97603

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 Nichole Maddock's NPI number?

The NPI number for Nichole Maddock is 1447947783. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Nichole Maddock located?

Nichole Maddock practices at 3203 Vandenberg Rd, Klamath Falls, OR 97603. The listed phone number is (541) 883-1030.

What is Nichole Maddock'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 Nichole Maddock was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.