Active NPI
Christine Nicolello, LMHC
- Mental Health Counselor
- Havre de Grace, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 626 Revolution St
Havre de Grace, MD 21078-3320 - Phone
- (410) 996-5104
- NPI assigned
- Dec 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC9240 | MD | |
| Mental Health Counselor | 101YM0800X | NY | Primary |
Addresses
Primary practice location
626 Revolution St
Havre de Grace, MD 21078-3320
Mailing address
204 Timber TRL
Bel Air, MD 21014-3172
Phone (516) 712-7074
Other names 1
- Mrs. Christine Wnorowski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240729000316 | MD | Practitioner - Mental Health Counselor | 6305382102 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Hofstra North Shore - Lij School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Upper Bay Counseling and Support Services, Inc.
Practice addresses (Care Compare)
626 Revolution St
Havre de Grace, MD 21078-3320
Phone (410) 939-8744
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Bay Counseling and Support Services, Inc | Current | Accepting new patients | |
| Upper Bay Counseling & Support Services, Inc. | Single Specialty | Current | Accepting new patients |
Locations
200 Booth St
Elkton, MD 21921
Phone (410) 996-3400
626 Revolution St
Havre de Grace, MD 21078
Phone (410) 939-8744
71 Flint Dr
North East, MD 21901
Phone (410) 620-7161
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elkton, MD
- NPI 1316912652
MD, Single Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Havre de Grace, MD
- NPI 1114252020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1689145336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 TIMBER TRL",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143172",
"telephone_number": "516-712-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 REVOLUTION ST",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210783320",
"telephone_number": "410-996-5104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLELLO",
"first_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-06",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC9240",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "WNOROWSKI",
"prefix": "MRS.",
"credential": "LMHC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Havre de Grace, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.