Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Costello, MSPSY, CRADC, MOUD, CS

Individual provider Community/Behavioral Health Agency · NPI 1013526318

Nicole Costello, MSPSY, CRADC, MOUD, CS is a Community/Behavioral Health Agency in Joplin, Missouri. Practices as a sole proprietor and works from 6 locations. Licensed in Missouri and Oregon.

Licensed in
MO, OR
In the registry since
2020
Specialties on file
6
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Practice location Address checks out

2919 E 4th St Corporate Home Base Assignment
Joplin, MO 64801-1625
Phone: (417) 782-7966
Fax: (417) 624-4558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 2534 Campbell St Ste B, Kansas City, MO 64108-2730 — (816) 283-3877
  • 1369 N Westwood Blvd, Poplar Bluff, MO 63901-3313 — (573) 772-7937
  • 404 E Battlefield St, Springfield, MO 65807-4802 — (417) 865-8045
  • 204 Kimberly Ct, Washington, MO 63090-5294 — (503) 983-1621
  • 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 — (417) 257-1833

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 14770 (MO)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 93-6002307 (OR)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X · Licence 1922 (MO)
Methadone Clinic Taxonomy 261QM2800X · Licence 14770 (MO)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 14770 (MO)
Health Information Technician Taxonomy 247000000X (MO)

Record details

NPI number1013526318
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPSY , CRADC , MOUD , CS
Sole proprietorYes
NPI enumeratedJuly 23, 2020
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026

Other providers in Joplin