Nicole Marie Pfaff, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC009626 Issued in PA

Practice address

112 S Main Street
Suite C
Manheim, PA 17545

Phone

(484) 477-8223

NPI assigned

May 14, 2017

Reactivated

Oct 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Neighborhood Counseling

  • Adult Mental Health Clinic/Center
  • Manheim, PA
  • NPI 1508352253
  NPD (past) Authorized official

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

{
    "created_epoch": "1494720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1184151722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S MAIN STREET",
            "address_2": "SUITE C",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "17545",
            "telephone_number": "484-477-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S MAIN STREET",
            "address_2": "SUITE C",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "17545",
            "telephone_number": "484-477-8223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 N Providence Rd",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190633527",
            "country_code": "US",
            "telephone_number": "484-477-8223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 S Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Manheim",
            "state": "PA",
            "postal_code": "17545",
            "country_code": "US",
            "telephone_number": "484-477-8223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2421 Willow Street Pike N",
            "address_purpose": "LOCATION",
            "city": "Willow Street",
            "state": "PA",
            "postal_code": "175849225",
            "country_code": "US",
            "telephone_number": "484-477-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFAFF",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-14",
        "last_updated": "2018-10-19",
        "deactivation_date": "2018-09-28",
        "reactivation_date": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC009626",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC009626",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Manheim, PA
• Providers in Manheim, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.