Individual provider Active NPI

Nicole Cangelose, LPC, NCC

  • Professional Counselor
  • Doylestown, PA
National Provider Identifier
1285395855
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC014113 Issued in PA
Practice address
4259 W Swamp Rd Ste 404
Doylestown, PA 18902-1033
Phone
(610) 892-3800
Fax
(484) 468-1412
NPI assigned
Jan 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC014113 PA
Professional Counselor 101YP2500X PC014113 PA Primary

Addresses

Primary practice location

4259 W Swamp Rd Ste 404
Doylestown, PA 18902-1033

Mailing address

4259 W Swamp Rd Ste 404
Doylestown, PA 18902-1033
Phone (610) 892-3800

Other practice location 1

11 Welden Drive
Doylestown, PA 18901-1890
Phone (215) 345-8530 ext. 118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240304002613 PA Practitioner - Mental Health Counselor 2163867813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

4259 W Swamp Rd
Suite 404
Doylestown, PA 18902-1033
Phone (610) 892-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC014113PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aldie Foundation PastSince Jan 1, 2022 Accepting new patients
Aldie Foundation PastSince Jan 1, 2022 Accepting new patients

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": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1285395855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4259 W SWAMP RD STE 404",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021033",
            "telephone_number": "610-892-3800",
            "fax_number": "484-468-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4259 W SWAMP RD STE 404",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021033",
            "telephone_number": "610-892-3800",
            "fax_number": "484-468-1412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Welden Drive",
            "address_purpose": "LOCATION",
            "city": "Doylestown",
            "state": "PA",
            "postal_code": "189011890",
            "country_code": "US",
            "telephone_number": "215-345-8530 x118",
            "fax_number": "215-345-5423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANGELOSE",
        "first_name": "NICOLE",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC014113",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.