Individual provider Active NPI

Nicole Dubiac, MS, NCC, LPC

  • Counselor
  • Scranton, PA
National Provider Identifier
1811617475
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC014847 Issued in PA
Practice address
300 Mulberry St Ste 201
Scranton, PA 18503-1233
Phone
(570) 955-5479
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC014847 PA Primary

Addresses

Primary practice location

300 Mulberry St Ste 201
Scranton, PA 18503-1233

Mailing address

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

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://integrativecounselingpc.com/

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
I20240321003214 PA Practitioner - Mental Health Counselor 3072950344 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC014847PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Counseling Services, PC CurrentSince Mar 11, 2024 Accepting new patients
Counseling & Wellness Center of Scranton LLC CurrentSince May 20, 2025 Accepting new patients
Empowered Resilience PastSince Mar 11, 2024 Accepting new patients

Locations

52 Summit St
New Milford, PA 18834
Phone (570) 465-2080

4 Meadow Ave
Scranton, PA 18505
Phone (570) 504-1530

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

Organizations & group practices 3

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": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1811617475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MULBERRY ST STE 201",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031233",
            "telephone_number": "570-955-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MULBERRY ST STE 201",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031233",
            "telephone_number": "570-955-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBIAC",
        "first_name": "NICOLE",
        "credential": "MS, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC014847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://integrativecounselingpc.com/",
            "affiliation": "N",
            "endpointDescription": "Practice Website",
            "address_1": "300 Mulberry St Ste 201",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185031233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.