Individual provider Active NPI

Nicolle Yvonne Graaf, LPC

  • Professional Counselor
  • Bethlehem, PA
National Provider Identifier
1588917082
Registry record updated Oct 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006207 Issued in PA
Practice address
1650 Broadway
Bethlehem, PA 18015-3904
Phone
(800) 346-7827
NPI assigned
Oct 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC006207 PA Primary

Addresses

Primary practice location

1650 Broadway
Bethlehem, PA 18015-3904

Mailing address

5350 Russell CT Apt 8
Whitehall, PA 18052-2163
Phone (610) 442-0061

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240207000354 PA Practitioner - Mental Health Counselor 0244639524 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intentional Counseling & Wellness, LLC Professional CurrentSince Aug 8, 2025 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Dec 17, 2023 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Dec 17, 2023 Accepting new patients
Quaker State Medical Services Co Inc PastSince Apr 2, 2024 Accepting new patients

Locations

95 Highland Ave
Ste 301
Bethlehem, PA 18017
Phone (610) 625-1577

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1350777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350777600000",
    "number": "1588917082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 RUSSELL CT APT 8",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180522163",
            "telephone_number": "610-442-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 BROADWAY",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180153904",
            "telephone_number": "800-346-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAAF",
        "first_name": "NICOLLE",
        "middle_name": "YVONNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-21",
        "last_updated": "2012-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.