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JODY NICHOLS
NPI 1679124739
Counselor - Addiction (Substance Use Disorder) in Vidalia, LA

Active since September 20, 2019
806 CARTER ST, VIDALIA, LA 71373(318) 734-0034(601) 493-5898 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2021, Sep 20, 2019 (2 updates tracked since 2019).

About Jody Nichols NPPES

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

JODY NICHOLS (NPI 1679124739) is an individual addiction (substance use disorder) provider in Vidalia, Louisiana, licensed in Louisiana (CIT-5033) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1679124739
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJODY NICHOLS
Location Address806 CARTER STVidalia, LA 71373-3206
Mailing Address806 Carter StVidalia, LA 71373-3206 · (318) 734-0034 · Fax (601) 493-5898
Phone(318) 734-0034
Fax(601) 493-5898
Sole ProprietorYes
Enumeration DateSeptember 20, 2019
Last NPPES UpdateFebruary 4, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
✔ NPI 1679124739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in LA · CIT-5033
806 CARTER ST, Vidalia, LA 71373
Open in Google Maps ↗

Other Identifiers 1

Other5033LA · State Of Louisiana Addictive Disorder Regulatory Authority

Other Providers at the Same Location NPPES 2

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

TIFFANY M PAUL
Case Manager/Care Coordinator
806 CARTER ST
VIDALIA, LA 71373
Concordia Parish (318) 734-0034
ALEXIUS COLEY
Counselor (Mental Health)
806 CARTER ST
VIDALIA, LA 71373
Concordia Parish (318) 734-0034

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 Jody Nichols's NPI number?

The NPI number for Jody Nichols is 1679124739. It was assigned to this individual provider in the NPPES registry on September 20, 2019.

Where is Jody Nichols located?

Jody Nichols practices at 806 Carter St, Vidalia, LA 71373. The listed phone number is (318) 734-0034.

What is Jody Nichols's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jody Nichols was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.