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NICKOLAS ELLIS
NPI 1699636415
Peer Specialist in Oklahoma City, OK

Active since November 20, 2025
11601 W STANLEY DRAPER DR, OKLAHOMA CITY, OK 73165(405) 799-7540 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nickolas Ellis NPPES

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

NICKOLAS ELLIS (NPI 1699636415) is an individual peer specialist in Oklahoma City, Oklahoma, licensed in Oklahoma (K082070417) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1699636415
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameNICKOLAS ELLIS
Location Address11601 W STANLEY DRAPER DROklahoma City, OK 73165-6503
Mailing Address11601 W Stanley Draper DrOklahoma City, OK 73165-6503 · (405) 799-7540
Phone(405) 799-7540
Sole ProprietorYes
Enumeration DateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1699636415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OK · K082070417
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.
11601 W STANLEY DRAPER DR, Oklahoma City, OK 73165
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Other Providers at the Same Location NPPES 8

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

NICOLAS ANTONIO BYERS
Peer Specialist
11601 W STANLEY DRAPER DR
OKLAHOMA CITY, OK 73165
Cleveland County (405) 985-6075
CORY LEVI MITCHELL
Counselor (Addiction (Substance Use Disorder))
11601 W STANLEY DRAPER DR
OKLAHOMA CITY, OK 73165
Cleveland County (580) 334-3513
MICHAEL DALE LINDSAY PRSS
Counselor (Addiction (Substance Use Disorder))
11601 W STANLEY DRAPER DR
OKLAHOMA CITY, OK 73165
Cleveland County (405) 410-5907
JORGE AVITIA-MORENO
Case Manager/Care Coordinator
11601 W STANLEY DRAPER DR
OKLAHOMA CITY, OK 73165
Cleveland County (405) 799-7540
BRAIDEN LEWIS
Peer Specialist
11601 W STANLEY DRAPER DR
OKLAHOMA CITY, OK 73165
Cleveland County (405) 799-7540
KAYLEN HARRISON RICE
Peer Specialist
11601 W STANLEY DRAPER DR
OKLAHOMA CITY, OK 73165
Cleveland County (405) 799-7540
BRENT BRANHAM
Peer Specialist
11601 W STANLEY DRAPER DR
OKLAHOMA CITY, OK 73165
Cleveland County (405) 802-0694
DEVAN LEON WEST
Peer Specialist
11601 W STANLEY DRAPER DR
OKLAHOMA CITY, OK 73165
Cleveland County (405) 799-7540

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 Nickolas Ellis's NPI number?

The NPI number for Nickolas Ellis is 1699636415. It was assigned to this individual provider in the NPPES registry on November 20, 2025.

Where is Nickolas Ellis located?

Nickolas Ellis practices at 11601 W Stanley Draper Dr, Oklahoma City, OK 73165. The listed phone number is (405) 799-7540.

What is Nickolas Ellis'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 Nickolas Ellis was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.