Individual provider Active NPI

Nicole Scalice

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1770259889
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC017607 Issued in PA
Practice address
2052 Watkins St
Philadelphia, PA 19145-2017
Phone
(484) 381-0276
Fax
(844) 550-4563
NPI assigned
Aug 18, 2021
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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 37PC01128500 NJ
Professional Counselor 101YP2500X PC017607 PA Primary
Behavior Technician 106S00000X RBT-21-177164 PA

Addresses

Primary practice location

2052 Watkins St
Philadelphia, PA 19145-2017

Mailing address

2052 Watkins St
Philadelphia, PA 19145-2017
Phone (484) 381-0276

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
37PC01128500NJMDProfessional Counselor
PC017607PAMDProfessional Counselor
RBT-21-177164PAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Aba2Day Behavior Services, LLC PastSince Aug 1, 2022 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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1770259889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 WATKINS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452017",
            "telephone_number": "484-381-0276",
            "fax_number": "844-550-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 WATKINS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452017",
            "telephone_number": "484-381-0276",
            "fax_number": "844-550-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALICE",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01128500",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017607",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "PA",
            "license": "RBT-21-177164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.