Active NPI
Miles Matthew Nichols, PEER SUPPORT SPECIAL
- Community Health Worker
- Athens, OH
National Provider Identifier
1376382283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 11 Graham Dr
Athens, OH 45701-1430 - Phone
- (800) 321-8293
- NPI assigned
- May 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | APS005103 | OH |
Addresses
Primary practice location
11 Graham Dr
Athens, OH 45701-1430
Mailing address
PO Box 132
Athens, OH 45701-0132
Phone (800) 321-8293
Other practice location 1
242 E Main St
Chillicothe, OH 45601-3414
Phone (740) 773-3272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APS005103 | OH | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Capital Recovery and Counseling, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Chillicothe, OH
- NPI 1902479587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1376382283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 132",
"city": "ATHENS",
"state": "OH",
"postal_code": "457010132",
"telephone_number": "800-321-8293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 GRAHAM DR",
"city": "ATHENS",
"state": "OH",
"postal_code": "457011430",
"telephone_number": "800-321-8293"
}
],
"practiceLocations": [
{
"address_1": "242 E Main St",
"address_purpose": "LOCATION",
"city": "Chillicothe",
"state": "OH",
"postal_code": "456013414",
"country_code": "US",
"telephone_number": "740-773-3272",
"fax_number": "740-773-3279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLS",
"first_name": "MILES",
"middle_name": "MATTHEW",
"credential": "PEER SUPPORT SPECIAL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-21",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS005103",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.