Nicola Pierre-Smith

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC008047 Issued in PA

Practice address

255 S 7TH St
Suite 2100
Philadelphia, PA 19106-4135

Phone

(917) 804-9453

NPI assigned

Aug 3, 2016

Last updated

Aug 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 2, 2024 through Jul 2, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Melanated Womens Health LLC

  • Adult Mental Health Clinic/Center
  • Philadelphia, PA
  • NPI 1528681087
  NPD Authorized official

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1396299640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 RIDGE AVE",
            "address_2": "APARTMENT 110",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282452",
            "telephone_number": "917-804-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 7TH ST",
            "address_2": "SUITE 2100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064135",
            "telephone_number": "917-804-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE-SMITH",
        "first_name": "NICOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC008047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pierre J Mouradian DMD
• Merytony Pierre Jean, PASTOR
• Junie Pierre Louis
• Alain Pierre-Louis, M.D.
• Jessica Pierre-Louis, LPC
• Akilah Pierre, LMFT
• Antoinette Pierre, FNP
• Fabienne Pierre
• Uts C Pierre, MS
• Stephanie Pierrelouis

• Mental Health Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.