Individual provider Active NPI

Nicole L Lydzinski Pick, M.A., ED.S., NCC,LPC

  • Mental Health Counselor
  • Newtown, PA
National Provider Identifier
1184749335
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4 Terry Dr Ste 17G
Newtown, PA 18940-1837
Phone
(215) 499-3136
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4 Terry Dr Ste 17G
Newtown, PA 18940-1837

Mailing address

4 Terry Dr Ste 17G
Newtown, PA 18940-1837
Phone (215) 499-3136

Other practice location 1

803 Birchfield Dr # B
Mount Laurel, NJ 08054-4015
Phone (215) 499-3136

Other names 1

  • Ms. Nicole L Halushka Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mind, Body, and Spirit Through Therapy, LCC Mental Health Current Accepting new patients

Locations

402 Birchfield Dr
Mount Laurel, NJ 08054
Phone (215) 499-3136

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1184749335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TERRY DR STE 17G",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401837",
            "telephone_number": "215-499-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TERRY DR STE 17G",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401837",
            "telephone_number": "215-499-3136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Birchfield Dr # B",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080544015",
            "country_code": "US",
            "telephone_number": "215-499-3136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYDZINSKI PICK",
        "first_name": "NICOLE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.A., ED.S., NCC,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HALUSHKA",
            "middle_name": "L",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newtown, PA

Sources for this page

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