JUSTIN ALEX KICOS
NPI 1699456582
Counselor - Addiction (Substance Use Disorder) in Columbus, OH

Active since July 25, 2023
4263 E BROAD ST, COLUMBUS, OH 43213(614) 334-6903 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin Alex Kicos NPPES

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

JUSTIN ALEX KICOS (NPI 1699456582) is an individual addiction (substance use disorder) provider in Columbus, Ohio, licensed in Ohio (CDCA.190708) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1699456582
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJUSTIN ALEX KICOS
Location Address4263 E BROAD STColumbus, OH 43213-1217
Mailing Address5545 Warner Ridge RdColumbus, OH 43081-8867 · (330) 418-1401
Sole ProprietorNo
Enumeration DateJuly 25, 2023
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
NPI 1699456582 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 OH · CDCA.190708
4263 E BROAD ST, Columbus, OH 43213

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 Justin Kicos's NPI number?

The NPI number for Justin Kicos is 1699456582. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Where is Justin Kicos located?

Justin Kicos practices at 4263 E Broad St, Columbus, OH 43213. The listed phone number is (614) 334-6903.

What is Justin Kicos'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 Justin Kicos was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.