Nicole M Viscusi, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004945 Issued in NY

Practice address

939 Route 146 Ste 610
Clifton Park, NY 12065-3662

Phone

(518) 219-8232

Fax

(518) 219-0744

NPI assigned

Dec 2, 2011

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 names 1

• Nicole M Wittemeyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hopespace Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Clifton Park, NY
  • NPI 1932708922
  NPD Authorized official
• Pinnacle Behavioral Health

  • Clinical Social Worker
  • Albany, NY
  • NPI 1346467529
  NPD (past)
• Pinnacle Behavioral Health Ipa PLLC

  • Mental Health Counselor
  • Albany, NY
  • NPI 1447276720
  NPD (past)

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1104194216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 ROUTE 146 STE 610",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653662",
            "telephone_number": "518-219-8232",
            "fax_number": "518-219-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 ROUTE 146 STE 610",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653662",
            "telephone_number": "518-219-8232",
            "fax_number": "518-219-0744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 State St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123052322",
            "country_code": "US",
            "telephone_number": "518-219-8232",
            "fax_number": "518-219-0744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Pinnacle Place, Suite 102",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122033496",
            "country_code": "US",
            "telephone_number": "518-689-0244",
            "fax_number": "518-689-0241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISCUSI",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "WITTEMEYER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Anne Vandenburgh, PA
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• Linda Vara, PHD
• Jill Alison Vigar, P.T.
• Vista Mental Health Counseling, PLLC
• Kim T Vo-Fernandez, LMHC
• Blair Vogel
• Carolyn Lee Von Schenk, O.T.
• Jessica Shirley Wagoner, MS/OT

• Mental Health Counselor in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.