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

Nicholas Shepherd, LCDCIII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053885939

Nicholas Shepherd, LCDCIII is an Addiction (Substance Use Disorder) Counselor in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2019

Practice location Address checks out

4998 W Broad St Ste 104
Columbus, OH 43228-1647
Phone: (614) 754-8051
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 162159 (OH)

Record details

NPI number1053885939
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDCIII
Sole proprietorYes
NPI enumeratedJanuary 14, 2019
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021

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