Active NPI
Denise Michelle Nowacinski, MA, NCC, LPC
- Professional Counselor
- Erie, PA
National Provider Identifier
1043630825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC007560
- Practice address
- 823 Filmore Ave
Erie, PA 16505 - Phone
- (814) 397-5430
- NPI assigned
- Apr 21, 2014
- Last updated
- May 21, 2019
- Sex
- Female
- Sole proprietor
- No
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 | PC007560 | PA | Primary |
Addresses
Primary practice location
823 Filmore Ave
Erie, PA 16505
Mailing address
823 Filmore Ave
Erie, PA 16505-4127
Phone (814) 397-5430
Other practice location 1
4320 Dexter Ave
Erie, PA 16504-2444
Phone (814) 825-2930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316480080 | Other | NPI GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC007560 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abcs of Building Better Lives LLC | Professional | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Erie, PA
- NPI 1316480080
-
- Professional Counselor
- Erie, PA
- NPI 1922336940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1043630825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 FILMORE AVE",
"city": "ERIE",
"state": "PA",
"postal_code": "165054127",
"telephone_number": "814-397-5430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 FILMORE AVE",
"city": "ERIE",
"state": "PA",
"postal_code": "16505",
"telephone_number": "814-397-5430"
}
],
"practiceLocations": [
{
"address_1": "4320 Dexter Ave",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165042444",
"country_code": "US",
"telephone_number": "814-825-2930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOWACINSKI",
"first_name": "DENISE",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "MA, NCC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-21",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC007560",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP",
"identifier": "1316480080",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.