Active NPI 1538948948 Individual Practitioner Male Practitioner

Nickolas Alexander King

Peer Specialist • Banning, CA

Professional Overview & Biography Verified Profile Summary

Nickolas King is a registered healthcare professional specializing in Peer Specialist in Banning, CA. Practice services are available at 43250 MIDNIGHT CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

43250 Midnight Ct

Banning, CA 922209565

Telephone 9516836596

Associated Practice Facility / Clinic

🏢 Mfi Recovery Center Facility NPI 1164194080

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Banning, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

11 Specialists

Practicing in Banning, CA (4567 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-25

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License CA MPSS-KNYRJU

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Jamika Jackson

Licensed Psychiatric Technician

NPI 1003372772

Dorene Cahill

Counselor

NPI 1013286426

Katherine Smith , CATC I

Counselor

NPI 1013338284

CATCI

Seleste Lozano

Counselor - Professional

NPI 1013508019

Rubie Franklin , MFTT

Marriage & Family Therapist

NPI 1023200136

Samantha Duro , RADT1

Counselor - Addiction (Substance Use Disorder)

NPI 1023526902

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 25, 2023

NPI status registered as active in NPPES database

📍

Updated Practice Location September 25, 2023

Registered at 43250 MIDNIGHT CT, BANNING, CA 922209565 (Tel: 9516836596)

📍

Updated Business Mailing Address September 25, 2023

Registered at 5870 ARLINGTON AVE, RIVERSIDE, CA 925042037 (Tel: 9516836596)

👤

Provider Name / Credentials Updated September 25, 2023

Recorded as NICKOLAS KING

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2023

Peer Specialist (License #MPSS-KNYRJU in CA)

🟢

Initial NPI Registration & Enumeration September 25, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1538948948

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 25, 2023

Last Update: September 25, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5870 Arlington Ave

Riverside, CA 925042037

Phone: 9516836596

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.