Nicole Lynn Gannon, LPC – Professional Counselor

Key facts

NPI: 1174879209
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: PC006297 (PA)
Practice address: 221 Penn Ave
Suite 3000
Wilkinsburg, PA 15221-2118
Phone: (724) 443-8900
NPI assigned: Jul 26, 2012
Sex: Female
Sole proprietor: No

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.

Nicole Gannon, LPC LLC Professional Counselor · Pittsburgh, PA · NPI 1891487815

NPD PROFESSIONAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
PC006297	PA	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Nicole Gannon, LPC LLC	Professional	Current since May 28, 2023	Accepting new patients

Locations

12013 Frankstown Rd
Pittsburgh, PA 15235
Phone (412) 256-8526

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X	PC006297	PA	Yes

Addresses

Primary practice location

221 Penn Ave
Suite 3000
Wilkinsburg, PA 15221-2118

Mailing address

221 Penn Ave
Suite 3000
Wilkinsburg, PA 15221-2118
Phone (724) 443-8900

Other providers in Wilkinsburg, PA

Kevin Flaherty, PHARMD
Rikell Shawntae Ford, LCSW
Kelly Foreman, LCSW
Arnold Freedman, PH.D.
David Ross Freeman, MD
Kieran Giovannelli, LICENSEDPSYCHOLOGIST
Erica Lynn Givner, LCSW
Shay Gonzales
Juliette Gouirand, LPC, NCC
Nicole Antionette Harris, LPC

All providers in Wilkinsburg, PA · Professional Counselor in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.