Nicholas Paul Ickes

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

425 Juliana St
Parkersburg, WV 26101-5352

Phone

(304) 893-9777

NPI assigned

Jun 3, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Clean & Clear Advantage, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Parkersburg, WV
  • NPI 1790390839
  NPD
• Clean and Clear Advantage

  • Nursing Care Agency
  • Parkersburg, WV
  • NPI 1043056872
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1508759929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 18TH ST APT D",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051165",
            "telephone_number": "681-509-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 JULIANA ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015352",
            "telephone_number": "304-893-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICKES",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Hutton
• Lisa A Hutzler, MA
• Diana Jean Huxley
• Shauna Hyde, PHD
• Beulah Lynn Ice-Cross
• Donna Gail Ingram
• Matthew Rossland Ingram, O.D.
• Inman Family Eye Care Inc
• Cindy Carlson Inman, MA, LP
• Lance A Inman, OD

• All providers in Parkersburg, WV
• Behavior Technician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.