Nicole King, is a
Peer Specialist based in Canton, Ohio. Nicole King is licensed to practice in Ohio (license number APS.003653) and her current practice location is
3745 Whipple Ave Nw, Canton, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 331-7506.
NPI number for Nicole King is 1427779248 and her current mailing address is 3853 Mollane St Nw, Massillon, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427779248.
Healthcare Provider's Profile
| Full Name | Nicole King |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 3745 Whipple Ave Nw, Canton, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427779248
- Provider Enumeration Date: 09/09/2022
- Last Update Date: 07/23/2026
Medical Identifiers
Medical identifiers for Nicole King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427779248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.182002 (Ohio) | Secondary |
| 175T00000X | Peer Specialist | APS.003653 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole King is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicole King,
3853 Mollane St Nw,
Massillon, OH 44646-3291
Ph: (330) 639-7737 | Nicole King,
3745 Whipple Ave Nw,
Canton, OH 44718-4805
Ph: (330) 331-7506 |
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