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Nicole Shannon Thull, SAC-IT

Addiction (Substance Use Disorder) Counselor in Kewaskum, WI · enumerated 2018 · practices at Exodus Transitional Care Facility Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669962825

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Registry record

Entity type Individual (Type 1)
Name Nicole Shannon Thull
Credential SAC-IT
Sex Female
Practice address 1421 Fond Du Lac Ave, Kewaskum, WI, 53040
Fax (262) 626-8431
Enumeration date May 14, 2018
Last updated in NPPES May 14, 2018

Taxonomy & licenses

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 17291-130 (WI) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Nicole Thull practice?
The practice location on file with NPPES is in Kewaskum, WI. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Nicole Thull?
The National Provider Identifier (NPI) for Nicole Thull is 1669962825, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-05-14.