Nicole Mancuso, LPC, CAADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC018103 Issued in PA

Practice address

126 Timber TRL
Greentown, PA 18426-2549

Phone

(272) 772-6551

NPI assigned

Mar 4, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Nicole Mariella Mancuso-Todd Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1245865898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 TIMBER TRL",
            "city": "GREENTOWN",
            "state": "PA",
            "postal_code": "184262549",
            "telephone_number": "272-772-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 TIMBER TRL",
            "city": "GREENTOWN",
            "state": "PA",
            "postal_code": "184262549",
            "telephone_number": "272-772-6551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94 Adams Dr",
            "address_purpose": "LOCATION",
            "city": "Waymart",
            "state": "PA",
            "postal_code": "184727701",
            "country_code": "US",
            "telephone_number": "272-772-6551 x26551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LPC, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PC018103",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC018103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MANCUSO-TODD",
            "middle_name": "MARIELLA",
            "prefix": "MRS.",
            "credential": "LPC, CAADC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.