Individual provider Active NPI

Nancy Denicolo, L.M.H.C.

  • Mental Health Counselor
  • New Paltz, NY
National Provider Identifier
1609085554
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001106-1 Issued in NY
Practice address
5 Academy St
Omamaworks at the Sanctuary
New Paltz, NY 12561-1702
Phone
(845) 926-2086
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001106-1 NY Primary

Addresses

Primary practice location

5 Academy St
Omamaworks at the Sanctuary
New Paltz, NY 12561-1702

Mailing address

13 Hickory Hill Rd
New Paltz, NY 12561-3105
Phone (845) 926-2086

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

LicenseStateTypeSpecialty
001106-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609085554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HICKORY HILL RD",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125613105",
            "telephone_number": "845-926-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ACADEMY ST",
            "address_2": "OMAMAWORKS AT THE SANCTUARY",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611702",
            "telephone_number": "845-926-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENICOLO",
        "first_name": "NANCY",
        "name_prefix": "Mrs.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001106-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paltz, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.