Nicole Marie Disalvo, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3377 Issued in KS

Practice address

1000 Lincoln St
Emporia, KS 66801-2449

Phone

(620) 343-2211

NPI assigned

Feb 11, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in KS

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mental Health Center of East Central Kansas a Corporation

  dba CrossWinds Counseling and Wellness

  • Community/Behavioral Health Agency
  • Emporia, KS
  • NPI 1740365758
  Medicare reassignment NPD

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1437614856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012449",
            "telephone_number": "620-343-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012449",
            "telephone_number": "620-343-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISALVO",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "3377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernesto Diaz-Villalpando, MD
• Marah Noel Dice
• Lanis Dieker, LSCSW
• Patricia Dillingham, APRN
• Dillon Companies LLC (Dillons Pharmacy #39)
• Marie Ann Doleman, DNP, FNP-C
• Dorsey Surgical Associates,P.a
• Crista Cay Dorsey, P.T.
• Patricia A. Dorsey, O.D.
• Douglas Chiropractic, PA

• Professional Counselor in Emporia, KS
• Providers in Emporia, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.