Active NPI
Nisha Spence, MA, NCC, LPC
- Professional Counselor
- Nanticoke, PA
National Provider Identifier
1275187890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC011627
- Practice address
- 35 E Green St
Nanticoke, PA 18634-2414 - Phone
- (570) 762-2583
- NPI assigned
- Jul 31, 2019
- Last updated
- Jul 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC011627 | PA | Primary |
Addresses
Primary practice location
35 E Green St
Nanticoke, PA 18634-2414
Mailing address
35 E Green St
Nanticoke, PA 18634-2414
Phone (570) 762-2583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Counseling Services, PC | Professional | Current | Accepting new patients |
| Nanticoke Counseling Services PC | Professional | Past | Accepting new patients |
Locations
300 Mulberry St
Ste 201
Scranton, PA 18503
Phone (570) 955-5479
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Scranton, PA
- NPI 1326462599
-
- Professional Counselor
- Nanticoke, PA
- NPI 1831550599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1275187890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 E GREEN ST",
"city": "NANTICOKE",
"state": "PA",
"postal_code": "186342414",
"telephone_number": "570-762-2583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 E GREEN ST",
"city": "NANTICOKE",
"state": "PA",
"postal_code": "186342414",
"telephone_number": "570-762-2583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCE",
"first_name": "NISHA",
"credential": "MA, NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-31",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC011627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nanticoke, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.