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NPISignal

Individual Healthcare Provider

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

NPI Record: ActiveCommunity/Behavioral Health
NPI1013526318
Joplin, Missouri

Provider's NPPES record last updated: January 7, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1013526318
Primary Specialty
Community/Behavioral Health
Practice Location
Joplin, Missouri
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 1:51 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Community/Behavioral Health

    Agencies

    Primary

    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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

    Taxonomy code 251S00000X
  • Case Manager/Care Coordinator

    Other Service Providers

    A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

    Taxonomy code 171M00000X
  • Clinic/Center

    Adult Mental Health

    Ambulatory Health Care Facilities

    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

    Taxonomy code 261QM0850X
  • Clinic/Center

    Methadone

    Ambulatory Health Care Facilities

    An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

    Taxonomy code 261QM2800X
  • Counselor

    Addiction (Substance Use Disorder)

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YA0400X
  • Technician, Health Information

    Technologists, Technicians & Other Technical Service Providers

    Preferred term for an Accredited Record Technician who is an individual with an associate's degree from an accredited college or independent study program who is skilled in analyzing health information and in examination of medical records for accuracy, reporting of patient data for reimbursement, and creation of disease registries for researchers.

    Taxonomy code 247000000X

Provider-Reported License Information

Community/Behavioral Health (Missouri)
14770
Case Manager/Care Coordinator (Oregon)
93-6002307
Clinic/Center (Missouri)
1922
Clinic/Center (Missouri)
14770
Counselor (Missouri)
14770
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

2919 E 4th St

Corporate Home Base Assignment

Joplin, Missouri 64801-1625

Phone: (417) 782-7966

Additional Practice Location

1639 Bruce Smith Pkwy

West Plains, Missouri 65775-7691

Phone: (417) 257-1833

Fax: (417) 256-0488

Additional Practice Location

2534 Campbell St Ste B

Kansas City, Missouri 64108-2730

Phone: (816) 283-3877

Fax: (816) 283-3310

Additional Practice Location

404 E Battlefield St

Springfield, Missouri 65807-4802

Phone: (417) 865-8045

Fax: (417) 865-1007

Additional Practice Location

204 Kimberly Ct

Remote Home Office

Washington, Missouri 63090-5294

Phone: (503) 983-1621

Additional Practice Location

1369 N Westwood Blvd

Poplar Bluff, Missouri 63901-3313

Phone: (573) 772-7937

Fax: (573) 778-1315

Record Information

Enumeration Date
July 23, 2020
Provider's NPPES Record Last Updated
January 7, 2026
Certification Date
January 7, 2026
NPISignal NPPES Dataset
August 2026

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