Individual provider Active NPI

Nicol Tomassacci, LPC

  • Mental Health Counselor
  • Wilkes Barre, PA
National Provider Identifier
1659205995
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC020482 Issued in PA
Practice address
21 Academy St
Wilkes Barre, PA 18702-3801
Phone
(570) 301-0935
Fax
(570) 762-9009
NPI assigned
Jun 11, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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 PC020482 PA Primary

Addresses

Primary practice location

21 Academy St
Wilkes Barre, PA 18702-3801

Mailing address

3720 Main Rd
Hunlock Creek, PA 18621-3000
Phone (570) 931-1844

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
I20260625000318 PA Practitioner - Mental Health Counselor 2264905843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

335 S Franklin St
Wilkes Barre, PA 18702-3808

3720 Main Rd
Hunlock Creek, PA 18621-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1781136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1659205995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 MAIN RD",
            "city": "HUNLOCK CREEK",
            "state": "PA",
            "postal_code": "186213000",
            "telephone_number": "570-931-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ACADEMY ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187023801",
            "telephone_number": "570-301-0935",
            "fax_number": "570-762-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASSACCI",
        "first_name": "NICOL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC020482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.