Individual provider Active NPI

Nicole McDuff, LPC

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1306512751
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PCO12877 Issued in PA
Practice address
3209 Maple St
Erie, PA 16508-2610
Phone
(814) 823-3517
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PCO12877 PA Primary

Addresses

Primary practice location

3209 Maple St
Erie, PA 16508-2610

Mailing address

3209 Maple St
Erie, PA 16508-2610
Phone (814) 823-3517

Other practice location 1

1626 Locust St
Philadelphia, PA 19103-6305
Phone (646) 941-7645

Other practice location 2

1650 Market St Ste 3600
Philadelphia, PA 19103-7334
Phone (833) 419-0181

Other practice location 3

1626 Locust St
Philadelphia, PA 19103-6305
Phone (215) 709-3177

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
I20250102001764 PA Practitioner - Mental Health Counselor 2567999592 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PCO12877PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Dec 10, 2024 Accepting new patients
Edinboro Counseling and Psychological Services PastSince Aug 1, 2021 Accepting new patients
Edinboro Counseling and Psychological Services Mental Health PastSince Aug 1, 2021 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1306512751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 MAPLE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082610",
            "telephone_number": "814-823-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 MAPLE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082610",
            "telephone_number": "814-823-3517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1626 Locust St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191036305",
            "country_code": "US",
            "telephone_number": "646-941-7645",
            "fax_number": "929-596-7897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Market St Ste 3600",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191037334",
            "country_code": "US",
            "telephone_number": "833-419-0181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1626 Locust St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191036305",
            "country_code": "US",
            "telephone_number": "215-709-3177",
            "fax_number": "954-480-1784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDUFF",
        "first_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PCO12877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.