Provider Demographics
NPI:1790655264
Name:JAMES, NIK ALIC (ACLC)
Entity type:Individual
Prefix:
First Name:NIK
Middle Name:ALIC
Last Name:JAMES
Suffix:
Gender:M
Credentials:ACLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3430 LYNN AVE APT 306
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6610
Mailing Address - Country:US
Mailing Address - Phone:406-598-8287
Mailing Address - Fax:
Practice Address - Street 1:1010 CENTRAL AVE STE 2
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-5812
Practice Address - Country:US
Practice Address - Phone:406-598-8287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-ACLA-LIC-82387101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)