Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madeline Nicklas, CPSS

Individual provider Peer Specialist · NPI 1316555329

Madeline Nicklas, CPSS is a Peer Specialist in Gulfport, Mississippi. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1600 Broad Ave
Gulfport, MS 39501-3603
Phone: (228) 863-1132
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1316555329
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPSS
Sole proprietorNo
NPI enumeratedJuly 15, 2020
Last updated in NPPESJuly 15, 2020
Certification dateJuly 15, 2020

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