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

Stacy Lynn Nickels, BS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1013496371

Stacy Lynn Nickels, BS is an Addiction (Substance Use Disorder) Counselor in Salt Lake City, Utah. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

4000 S 700 E Ste 9
Salt Lake City, UT 84107-2581
Phone: (801) 635-4141
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

Record details

NPI number1013496371
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorYes
NPI enumeratedAugust 8, 2018
Last updated in NPPESAugust 8, 2018

Other providers in Salt Lake City