Nicole Albano Clark, LPC
Individual provider Active NPI Professional Counselor · Marion, VA
NPI 1548029325 · NPPES record last updated Mar 15, 2024
Key facts
- NPI
- 1548029325
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701013357 (VA)
- Practice address
- 216 Hospital Ave
Marion, VA 24354-3157 - Phone
- (276) 783-8185
- Fax
- (276) 783-5030
- NPI assigned
- Mar 15, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mount Rogers Community Services
Practice addresses (Care Compare)
216 Hospital Ave
Marion, VA 24354-3157
Phone (276) 783-8185
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240516004315 | VA | Practitioner - Mental Health Counselor | 3971944224 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701013357 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Rogers Community Services | Current |
Accepting new patients |
Locations
216 Hospital Ave
Marion, VA 24354
Phone (276) 783-8185
770 W Ridge Rd
Wytheville, VA 24382
Phone (276) 223-3200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 0701013357 | VA | Yes |
Addresses
Primary practice location
216 Hospital Ave
Marion, VA 24354-3157
Mailing address
770 W Ridge Rd
Wytheville, VA 24382-1187
Phone (276) 223-3200
Other names
- Nicole Fern Albano
Other providers in Marion, VA
- Wanda Sue Chafin
- Dana H Chamberlain
- Stacey Chapman
- Adanna Cheek
- Robert Van Clampitt
- Anthony Clary
- Clyburn Physician Services LLC
- Codex Psychological and Forensic Services
- Breanna Coley
- Commonwealth of Virginia State Board of Health
All providers in Marion, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.