Individual provider Active NPI

Nicole Brush, NCC,LPC

  • Professional Counselor
  • Old Forge, PA
National Provider Identifier
1760049431
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
220 Dunbar Dr
Old Forge, PA 18518-2008
Phone
(570) 313-6098
NPI assigned
May 28, 2019
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Professional Counselor 101YP2500X PC011437 NU
Professional Counselor 101YP2500X PC011437 PA

Addresses

Primary practice location

220 Dunbar Dr
Old Forge, PA 18518-2008

Mailing address

220 Dunbar Dr
Old Forge, PA 18518-2008
Phone (570) 313-6098

Other practice location 1

228 S Main Ave
Scranton, PA 18504
Phone (570) 904-7363

Other practice location 2

211 Amity Ave
Old Forge, PA 18518-1034
Phone (570) 313-6098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC011437PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole Dunbar Brush Professional CurrentSince Mar 30, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1760049431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 DUNBAR DR",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185182008",
            "telephone_number": "570-313-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 DUNBAR DR",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185182008",
            "telephone_number": "570-313-6098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 S Main Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "18504",
            "country_code": "US",
            "telephone_number": "570-904-7363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Amity Ave",
            "address_purpose": "LOCATION",
            "city": "Old Forge",
            "state": "PA",
            "postal_code": "185181034",
            "country_code": "US",
            "telephone_number": "570-313-6098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUSH",
        "first_name": "NICOLE",
        "credential": "NCC,LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": "PC011437",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Forge, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.