Active NPI
Nicole Garland, LPC
- Professional Counselor
- Warren, PA
National Provider Identifier
1588037501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC008081
- Practice address
- 589 Hospital Dr
Suite E
Warren, PA 16365-4875 - Phone
- (814) 723-1330
- Fax
- (814) 723-5744
- NPI assigned
- Nov 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC008081 | PA | Primary |
Addresses
Primary practice location
589 Hospital Dr
Suite E
Warren, PA 16365-4875
Mailing address
1048 Pennsylvania Ave W
Warren, PA 16365-1838
Phone (814) 230-9111
Other practice location 1
1048 Pennsylvania Ave W
Warren, PA 16365-1838
Phone (814) 230-9111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC008081 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Collaborative, LLC. | Professional | Current | Accepting new patients |
| Family Services of Warren County, Inc. | Professional | Past | Accepting new patients |
Locations
1048 Pennsylvania Ave W
Warren, PA 16365
Phone (814) 230-9111
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.
-
- Professional Counselor
- Warren, PA
- NPI 1295746451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591056000000",
"number": "1588037501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1048 PENNSYLVANIA AVE W",
"city": "WARREN",
"state": "PA",
"postal_code": "163651838",
"telephone_number": "814-230-9111",
"fax_number": "814-313-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "589 HOSPITAL DR",
"address_2": "SUITE E",
"city": "WARREN",
"state": "PA",
"postal_code": "163654875",
"telephone_number": "814-723-1330",
"fax_number": "814-723-5744"
}
],
"practiceLocations": [
{
"address_1": "1048 Pennsylvania Ave W",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "PA",
"postal_code": "163651838",
"country_code": "US",
"telephone_number": "814-230-9111",
"fax_number": "814-313-1075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARLAND",
"first_name": "NICOLE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-13",
"last_updated": "2020-06-02",
"certification_date": "2020-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.