Individual provider Active NPI

Faith Nicosia, LPC

  • Professional Counselor
  • Scranton, PA
National Provider Identifier
1669905907
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008955 Issued in PA
Practice address
300 Mulberry St
Integrative Counseling Services
Scranton, PA 18503-1225
Phone
(570) 955-5479
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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 PC008955 PA Primary

Addresses

Primary practice location

300 Mulberry St
Integrative Counseling Services
Scranton, PA 18503-1225

Mailing address

300 Mulberry Street
Integrative Counseling Services
Scranton, PA 18503
Phone (570) 955-5479

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
I20240820001673 PA Practitioner - Mental Health Counselor 5294273314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Counseling Services, PCGroup PAC ID 5698046357, 25 clinicians

Practice addresses (Care Compare)

300 Mulberry St
Suite 201
Scranton, PA 18503-1233
Phone (570) 955-5479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Counseling Services, PC Professional CurrentSince Aug 3, 2024 Accepting new patients
Empowered Resilience Past Accepting new patients

Locations

300 Mulberry St
Ste 301
Scranton, PA 18503
Phone (570) 955-5459

300 Mulberry St
Ste 201
Scranton, PA 18503
Phone (570) 955-5479

300 Mulberry St
Scranton, PA 18503
Phone (570) 565-9728

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.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1669905907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MULBERRY STREET",
            "address_2": "INTEGRATIVE COUNSELING SERVICES",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18503",
            "telephone_number": "570-955-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MULBERRY ST",
            "address_2": "INTEGRATIVE COUNSELING SERVICES",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031225",
            "telephone_number": "570-955-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOSIA",
        "first_name": "FAITH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.