Active NPI
Nichole Elizabeth Nugent
- Professional Counselor
- Camp Hill, PA
National Provider Identifier
1053802231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC013779
- Practice address
- 207 House Ave Ste 109
Camp Hill, PA 17011-2308 - Phone
- (717) 745-6166
- NPI assigned
- May 23, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | PC013779 | PA | Primary |
Addresses
Primary practice location
207 House Ave Ste 109
Camp Hill, PA 17011-2308
Mailing address
1036 Chestnut PL
Hummelstown, PA 17036-9477
Phone (717) 798-0787
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC013779 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespire LLC | Counselor | Current | Accepting new patients |
Locations
207 House Ave
Ste 109
Camp Hill, PA 17011
Phone (717) 745-6166
Organizations & group practices 1
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": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1053802231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 CHESTNUT PL",
"city": "HUMMELSTOWN",
"state": "PA",
"postal_code": "170369477",
"telephone_number": "717-798-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 HOUSE AVE STE 109",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112308",
"telephone_number": "717-745-6166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUGENT",
"first_name": "NICHOLE",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-23",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC013779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.