Individual provider Active NPI

Nicole Marie Losh, LPC

  • Professional Counselor
  • Gettysburg, PA
National Provider Identifier
1013563329
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011432 Issued in PA
Practice address
235 Table Rock Rd
Gettysburg, PA 17325-8552
Phone
(717) 398-2025
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC011432 PA Primary

Addresses

Primary practice location

235 Table Rock Rd
Gettysburg, PA 17325-8552

Mailing address

235 Table Rock Rd
Gettysburg, PA 17325-8552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212003199 PA Practitioner - Mental Health Counselor 4587007059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Wellbeing Nationwide PAGroup PAC ID 7012405145, 21 clinicians

Practice addresses (Care Compare)

State College, PA 16803
Phone (352) 445-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC011432PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Wellbeing Nationwide PA CurrentSince Feb 23, 2026 Accepting new patients
Balanced Wellbeing Nationwide PA CurrentSince Feb 23, 2026 Accepting new patients

Locations

330 Innovation Blvd
Fl 2
State College, PA 16803
Phone (814) 880-1958

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1013563329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 TABLE ROCK RD",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 TABLE ROCK RD",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258552",
            "telephone_number": "717-398-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSH",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.