Nicole V McNelis, M.ED.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC007038 Issued in PA

Practice address

2000 Valley Forge Cir Ste 121
King of Prussia, PA 19406-4526

Phone

(484) 393-1193

NPI assigned

Jan 20, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1629490008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 VALLEY FORGE CIR STE 121",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064526",
            "telephone_number": "484-393-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VALLEY FORGE CIR STE 121",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064526",
            "telephone_number": "484-393-1193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Valley Forge Rd Ste 38",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "194602676",
            "country_code": "US",
            "telephone_number": "484-393-1193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNELIS",
        "first_name": "NICOLE",
        "middle_name": "V",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.