Individual provider Active NPI

Nichole Plumb, LSW

  • Mental Health Counselor
  • Marlton, NJ
National Provider Identifier
1407639701
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
777 Route 70 E Ste G101
Marlton, NJ 08053-2548
Phone
(800) 413-8020
NPI assigned
Aug 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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 Primary

Addresses

Primary practice location

777 Route 70 E Ste G101
Marlton, NJ 08053-2548

Mailing address

PO Box 49
Englewood, NJ 07631-0049
Phone (800) 413-8020

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
I20251119000286 NJ Practitioner - Clinical Social Worker 0648761536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1590 Wellington Ave
Savannah, NY 13146-3160

PO Box
City of Industry, CA 91716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Psychiatry & TMS PC CurrentSince Nov 4, 2025 Accepting new patients
Tolchin Psychological Services, P.C. PastSince Oct 27, 2024 Accepting new patients

Locations

165 Passaic Ave
Ste 200
Fairfield, NJ 07004
Phone (800) 413-8020

777 Route 70 E
Ste G101
Marlton, NJ 08053
Phone (856) 818-4020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1407639701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076310049",
            "telephone_number": "800-413-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 ROUTE 70 E STE G101",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532548",
            "telephone_number": "800-413-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMB",
        "first_name": "NICHOLE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.