Individual provider · Type 1 NPI

Nicole Costello, MS.PSY, CRADC, MOUD, CS

Community/Behavioral Health Agency · Joplin, MO

NPI number 1013526318 Active

Practice location

2919 E 4th St, Corporate Home Base Assignment
Joplin, MO 64801-1625

Call (417) 782-7966 Map

Fax (417) 624-4558

Other practice locations

  • 204 Kimberly Ct, Remote Home Office, Washington, MO 63090-5294 · (503) 983-1621
  • 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 · (417) 257-1833
  • 404 E Battlefield St, Springfield, MO 65807-4802 · (417) 865-8045
  • 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

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X14770 (MO)
Case Manager/Care Coordinator 171M00000X93-6002307 (OR)
Adult Mental Health Clinic/Center 261QM0850X1922 (MO)
Methadone Clinic 261QM2800X14770 (MO)
Addiction (Substance Use Disorder) Counselor 101YA0400X14770 (MO)
Health Information Technician 247000000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

10 other providers at this address

About NPI 1013526318

Nicole Costello, MS.PSY, CRADC, MOUD, CS's National Provider Identifier is 1013526318, issued on Jul 23, 2020. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Joplin, MO. The record was last updated on Jan 7, 2026.