Individual provider Active NPI

Nicole Sagan Farrell, M.A., LPC

  • Mental Health Counselor
  • Rio Grande, NJ
National Provider Identifier
1275984502
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00597500 Issued in NJ
Practice address
1127 Route 47 S Ste 9
Rio Grande, NJ 08242-1609
Phone
(609) 486-2003
NPI assigned
Jun 28, 2016
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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 37PC00597500 NJ Primary

Addresses

Primary practice location

1127 Route 47 S Ste 9
Rio Grande, NJ 08242-1609

Mailing address

1127 Route 47 S Ste 9
Rio Grande, NJ 08242-1609
Phone (609) 486-2003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240429002360 NJ Practitioner - Mental Health Counselor 7012357734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Rowan University School of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bestlife Counseling Services LLCGroup PAC ID 5597105205, 4 clinicians

Practice addresses (Care Compare)

1127 Route 47 S
Suite 9
Rio Grande, NJ 08242-1609
Phone (609) 486-2003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37AC00233600NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bestlife Counseling Services LLC Mental Health CurrentSince Mar 2, 2024 Accepting new patients

Locations

1127 Route 47 S
Ste 9
Rio Grande, NJ 08242
Phone (609) 468-2003

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1275984502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 ROUTE 47 S STE 9",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421609",
            "telephone_number": "609-486-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 ROUTE 47 S STE 9",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421609",
            "telephone_number": "609-486-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "NICOLE",
        "middle_name": "SAGAN",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00597500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, NJ

Sources for this page

Verify at the official NPI Registry.