Individual provider Active NPI

Nicole Kroll, M.S., L.P.C., N.C.C

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1023370962
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
4 Allegheny Ctr FL 8
Pittsburgh, PA 15212-5255
Phone
(412) 330-4000
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

4 Allegheny Ctr FL 8
Pittsburgh, PA 15212-5255

Mailing address

4 Allegheny Ctr FL 8
Pittsburgh, PA 15212-5255

Other practice location 1

3811 OHara St
Pittsburgh, PA 15213-2593
Phone (412) 647-9380

Other names 1

  • Nicole Ross Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nkroll176792@direct.ahn.org

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
I20241002003537 PA Practitioner - Mental Health Counselor 3971034877 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jul 20, 2024 Accepting new patients
Jefferson Regional Medical Center CurrentSince Jul 20, 2024 Accepting new patients
Allegheny Clinic Current Accepting new patients
Jefferson Regional Medical Center Professional CurrentSince Jul 20, 2024 Accepting new patients
Allegheny Clinic CurrentSince Jul 20, 2024 Accepting new patients

Locations

200 Quinn Dr
Ste 250
Pittsburgh, PA 15275
Phone (412) 294-1267

4 Allegheny Ctr
Fl 8
Pittsburgh, PA 15212
Phone (412) 330-4242

810 Clairton Blvd
Pleasant Hills, PA 15236
Phone (412) 466-5004

Interoperability endpoints

  • Direct secure messaging: nkroll176792@direct.ahn.org

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": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1023370962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ALLEGHENY CTR FL 8",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ALLEGHENY CTR FL 8",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125255",
            "telephone_number": "412-330-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3811 OHara St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132593",
            "country_code": "US",
            "telephone_number": "412-647-9380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROLL",
        "first_name": "NICOLE",
        "credential": "M.S., L.P.C., N.C.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nkroll176792@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4 Allegheny Ctr Fl 8",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152125255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ROSS",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.