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KELLY LYNN NICODEMUS
NPI 1952605693
Counselor - Mental Health in Johnstown, PA

Active since January 10, 2011
131 MARKET ST, JOHNSTOWN, PA 15901(814) 623-1212 Get Directions Write a Review

NPPES record last updated: January 10, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Lynn Nicodemus NPPES

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

KELLY LYNN NICODEMUS (NPI 1952605693) is an individual mental health provider in Johnstown, Pennsylvania and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1952605693
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY LYNN NICODEMUS
Location Address131 MARKET STJohnstown, PA 15901-1628
Mailing Address3759 Business Route 220Bedford, PA 15522 · (814) 623-1212
Phone(814) 623-1212
Sole ProprietorNo
Enumeration DateJanuary 10, 2011
✔ NPI 1952605693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
131 MARKET ST, Johnstown, PA 15901
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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.

MRS. ROXANNE THERESA MILORO MSW
Social Worker
131 MARKET ST
JOHNSTOWN, PA 15901
Cambria County (814) 535-2277
ALTERNATIVE COMMUNITY RESOURCE PROGRAM
Psychologist
131 MARKET ST
JOHNSTOWN, PA 15901
Cambria County (814) 535-2277
ALTERNATIVE COMMUNITY RESOURCE PROGRAM, INC.
Peer Specialist
131 MARKET ST
JOHNSTOWN, PA 15901
Cambria County (814) 535-2277
WILLIAM MARTIN O'HERRICK BSED
Counselor (Mental Health)
131 MARKET ST
JOHNSTOWN, PA 15901
Cambria County (814) 535-2277
CHRISTINE MARY CHARNEY M.A.
Counselor
131 MARKET ST
JOHNSTOWN, PA 15901
Cambria County (814) 534-0745
JUSTIN GARMAN
Peer Specialist
131 MARKET ST
JOHNSTOWN, PA 15901
Cambria County (814) 535-2277
JENNIFER THERESA STEVENS M.S.
Counselor
131 MARKET ST
JOHNSTOWN, PA 15901
Cambria County (814) 535-2277
ANNETTE MARIE COMISKEY LPC, MA, NCC
Counselor (Professional)
131 MARKET ST
JOHNSTOWN, PA 15901
Cambria County (814) 535-2277

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 Kelly Nicodemus's NPI number?

The NPI number for Kelly Nicodemus is 1952605693. It was assigned to this individual provider in the NPPES registry on January 10, 2011.

Where is Kelly Nicodemus located?

Kelly Nicodemus practices at 131 Market St, Johnstown, PA 15901. The listed phone number is (814) 623-1212.

What is Kelly Nicodemus's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Nicodemus was last updated on January 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.