Individual provider · Type 1 NPI

Nickolas Ellis

Peer Specialist · Oklahoma City, OK

NPI number 1699636415 Active

Practice location

11601 W Stanley Draper Dr
Oklahoma City, OK 73165-6503

Call (405) 799-7540 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XK082070417 (OK)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1699636415

Nickolas Ellis's National Provider Identifier is 1699636415, issued on Nov 20, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Nov 20, 2025.