Nicole Gabriel

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC012047 Issued in PA

Practice address

1518 Walnut Street
Suite 208
Philadelphia, PA 19102

Phone

(215) 642-8968

NPI assigned

May 29, 2020

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

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Connections Counseling Services, LLC

  • Clinical Social Worker
  • Stroudsburg, PA
  • NPI 1225454481
  NPD

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1710501481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11323 N GRAY BOULDER CT.",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 WALNUT STREET",
            "address_2": "SUITE 208",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-642-8968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 N 5th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Stroudsburg",
            "state": "PA",
            "postal_code": "183602609",
            "country_code": "US",
            "telephone_number": "570-424-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 Dartmouth Dr.",
            "address_2": "UNIT 3",
            "address_purpose": "LOCATION",
            "city": "Marshalls creek",
            "state": "PA",
            "postal_code": "18335",
            "country_code": "US",
            "telephone_number": "570-730-4211",
            "fax_number": "570-730-4214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaliyah Shalawn Gabriel
• Courtney A Gabriel, MD
• Eladio Rubio Gabriel, MA
• Kristin Gabriel, MD
• Mari-Elizabeth Gabriel
• Peter E Gabriel
• Veronica Gabriel, MD
• Michele Gabriele, MOT
• Gabrielle Gorin Mental Health Counseling LLC
• David Andrew Gabrielsen, MD

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.