Noah Cicalo, LMHC
Individual provider Active NPI Professional Counselor · Kokomo, IN
NPI 1558020859 · NPPES record last updated Dec 14, 2021
Key facts
- NPI
- 1558020859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 39004104A (IN)
- Practice address
- 322 N Main St
Kokomo, IN 46901-4622 - Phone
- (765) 453-8555
- NPI assigned
- Dec 14, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Howard Regional Health Inc
Practice addresses (Care Compare)
322 N Main St
Kokomo, IN 46901-4622
Phone (765) 453-8555
Hospital & facility affiliations
- Community Howard Regional Health Inc.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20240118003196 | IN | Practitioner - Mental Health Counselor | 3476905019 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39004104A | IN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Howard Regional Health Inc | Current |
Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
205 N Jackson St
Frankfort, IN 46041
Phone (765) 659-4771
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
322 N Main St
Kokomo, IN 46901
Phone (765) 453-8238
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 39004104A | IN | Yes |
Addresses
Primary practice location
322 N Main St
Kokomo, IN 46901-4622
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other providers in Kokomo, IN
- Justine Danielle Christensen
- Devan Brooke Christenson
- Raymond L Christine
- Brittany Christmas
- Christy Price LCSW LLC
- Circlecity ABA
- City Optical Co., Inc.
- CK Counseling, LLC
- Min Qi Clapham
- Abigail Clark
All providers in Kokomo, IN · Professional Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2021. 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.