Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Ann Thompson, LCDCIII162583

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1396493953

Nicole Ann Thompson, LCDCIII162583 is an Addiction (Substance Use Disorder) Counselor in Mansfield, Ohio. Works from 3 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

650 Park Ave W
Mansfield, OH 44906-3702
Phone: (833) 762-1013
Fax: (617) 591-3893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1050 Kingsmill Pkwy, Columbus, OH 43229-1143 — (614) 907-5434
  • 1065 Delaware Ave Ste A-1, Marion, OH 43302-6461 — (614) 300-7060

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCDCIII.162583 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.141536 (OH)

Record details

NPI number1396493953
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCDCIII162583
Sole proprietorNo
NPI enumeratedMarch 14, 2022
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025

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