Active NPI
Nicole Daino, LPC, NCC
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1215501697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC009666
- Practice address
- 2635 S Colorado St
Philadelphia, PA 19145-4508 - Phone
- (215) 852-1594
- NPI assigned
- May 19, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 348313 | PA | |
| Professional Counselor | 101YP2500X | PC009666 | PA | Primary |
Addresses
Primary practice location
2635 S Colorado St
Philadelphia, PA 19145-4508
Mailing address
8540 Verree Rd
Philadelphia, PA 19111-1399
Phone (215) 342-7600
Other names 1
- Miss Nicole Gregorio
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 |
|---|---|---|---|
| 348313 | PA | MD | Mental Health Counselor |
| PC009666 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cora Services, Inc. | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Philadelphia, PA
- NPI 1982752408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1215501697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8540 VERREE RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191111399",
"telephone_number": "215-342-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2635 S COLORADO ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191454508",
"telephone_number": "215-852-1594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAINO",
"first_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-19",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "348313",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC009666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "GREGORIO",
"prefix": "MISS",
"credential": "LPC, NCC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.