Nicole Defurio, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

076245 Issued in NY

Practice address

819 S. Salina Street
Syracuse, NY 13202

Phone

(315) 476-7921

Fax

(315) 475-1448

NPI assigned

Feb 26, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Syracuse Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Syracuse, NY
  • NPI 1497796353
  Medicare reassignment NPD
• Simple Serenity Counseling LCSW, PLLC

  • Clinical Social Worker
  • Syracuse, NY
  • NPI 1598412892
  NPD Authorized official
• Simple Serenity Therapy Center

  • Group Psychotherapy Psychologist
  • Syracuse, NY
  • NPI 1528631504
  NPD Authorized official
• Syracuse Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Syracuse, NY
  • NPI 1184886988
  NPD

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1043532476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 S. SALINA STREET",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13202",
            "telephone_number": "315-476-7921",
            "fax_number": "315-475-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 S. SALINA STREET",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13202",
            "telephone_number": "315-476-7921",
            "fax_number": "315-475-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFURIO",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "076245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04125137",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sidra Deen, MD
• Anthony Guy Defeo, PA-C
• Nathan Deforge
• Darcy Karen Defruscio, NP
• Edward Louis Defuria, DDS
• Michael John Degennaro, CRNA
• Karen A. Degre, N.P.
• Jonathan E Dehors, D.C.
• Carly Jean Deihm, DO
• Nilsa Dejesus

• Counselor in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.