Active NPI
Nicole Marie Losh, LPC
- Professional Counselor
- Gettysburg, PA
National Provider Identifier
1013563329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC011432
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PA
Practice addresses (Care Compare)
State College, PA 16803
Phone (352) 445-1200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC011432 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Wellbeing Nationwide PA | Current | Accepting new patients | |
| Balanced Wellbeing Nationwide PA | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.