Individual provider Active NPI

Nicholas M Stanco, LPC

  • Mental Health Counselor
  • Clark, NJ
National Provider Identifier
1235580655
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00544200 Issued in NJ
Practice address
100 Walnut Avenue
Suite 210
Clark, NJ 07066
Phone
(201) 429-5720
NPI assigned
Jun 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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 37PC00544200 NJ Primary

Addresses

Primary practice location

100 Walnut Avenue
Suite 210
Clark, NJ 07066

Mailing address

100 Walnut Avenue
Suite 210
Clark, NJ 07066
Phone (201) 429-5720

Other practice location 1

1150 Reservoir Ave Ste 203
Cranston, RI 02920-6032
Phone (401) 259-0340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241209001872 NJ Practitioner - Mental Health Counselor 9133655590 Reassigns benefits to 1 organization
I20260129001224 RI Practitioner - Mental Health Counselor 9133655590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Guild Behavioral HealthGroup PAC ID 2668428780, 13 clinicians

Practice addresses (Care Compare)

108 Alden St
Cranford, NJ 07016-2131
Phone (908) 497-3968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00544200NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Counseling Associates LLC Mental Health CurrentSince Dec 21, 2025 Accepting new patients
Mount Carmel Guild Behavioral Health System CurrentSince Oct 28, 2024 Accepting new patients
Mount Carmel Guild Behavioral Health System CurrentSince Oct 28, 2024 Accepting new patients

Locations

108 Alden St
Cranford, NJ 07016
Phone (908) 497-3968

1150 Reservoir Ave
Ste 203
Cranston, RI 02920
Phone (401) 259-0340

Organizations & group practices 3

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1235580655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALNUT AVENUE",
            "address_2": "SUITE 210",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "07066",
            "telephone_number": "201-429-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALNUT AVENUE",
            "address_2": "SUITE 210",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "07066",
            "telephone_number": "201-429-5720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Reservoir Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029206032",
            "country_code": "US",
            "telephone_number": "401-259-0340",
            "fax_number": "401-213-8538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANCO",
        "first_name": "NICHOLAS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-27",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00544200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

Verify at the official NPI Registry.