Active NPI
Toby Nicolosi, MS, LPC
- Professional Counselor
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC012820
- Practice address
- 1251 S Cedar Crest Blvd Ste 202a
Allentown, PA 18103-6214 - Phone
- (610) 402-5766
- Fax
- (610) 402-5763
- NPI assigned
- Nov 16, 2020
- Sex
- Male
- 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 | PC012820 | PA | Primary |
Addresses
Primary practice location
1251 S Cedar Crest Blvd Ste 202a
Allentown, PA 18103-6214
Mailing address
2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-4500
Other practice location 1
726 Church St
Fogelsville, PA 18051-1603
Phone (610) 433-1529
Other practice location 2
732 W Turner St
Allentown, PA 18102-4038
Phone (610) 433-1529
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1251 S Cedar Crest Blvd
202A LVPG Consultation Liasion Psychiatry
Allentown, PA 18103-6214
Phone (610) 402-5766
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC012820 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Valliere & Counseling Associates, Inc | Past | Accepting new patients |
Locations
1251 S Cedar Crest Blvd
Ste 202A
Allentown, PA 18103
Phone (610) 402-5766
2100 Mack Blvd
Fl 4
Allentown, PA 18103
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": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1033711882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MACK BLVD FL 4",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035622",
"telephone_number": "484-884-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 S CEDAR CREST BLVD STE 202A",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036214",
"telephone_number": "610-402-5766",
"fax_number": "610-402-5763"
}
],
"practiceLocations": [
{
"address_1": "726 Church St",
"address_purpose": "LOCATION",
"city": "Fogelsville",
"state": "PA",
"postal_code": "180511603",
"country_code": "US",
"telephone_number": "610-433-1529",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "732 W Turner St",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181024038",
"country_code": "US",
"telephone_number": "610-433-1529",
"fax_number": "610-289-4883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICOLOSI",
"first_name": "TOBY",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-16",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.