Nicole Endress, M.ED., NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC008861 Issued in PA

Practice address

9048 William Penn Hwy
Suite 4
Huntingdon, PA 16652-6966

Phone

(814) 515-6220

NPI assigned

Apr 12, 2016

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

Other names 1

• Nicole Brooks Former name

Medicare fee-for-service enrollment

Enrolled in PA

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pivotal Pointe, LLC

  • Community/Behavioral Health Agency
  • Huntingdon, PA
  • NPI 1346602356
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1558725960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6997 KETTLE RD",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166866561",
            "telephone_number": "814-684-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9048 WILLIAM PENN HWY",
            "address_2": "SUITE 4",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166526966",
            "telephone_number": "814-515-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDRESS",
        "first_name": "NICOLE",
        "credential": "M.ED., NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BROOKS",
            "credential": "M.ED., NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dodie Feagley Edwards, ATC
• Craig A Eisenhart, DMD
• Elevated Support Services
• Embassy Huntingdon Park, LLC (Embassy of Huntingdon Park)
• Employment & Training Inc
• Brock D. Eppley, MA CCC-SLP
• Garth R Espigh, MPT
• Allen Belo Ettenger, M.D.
• Molly Ettenger, M.D.
• Monica Marie Everhart, COTA/L

• Professional Counselor in Huntingdon, PA
• Providers in Huntingdon, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.