Nicole Marie Mancino, LCMC, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0135622 Issued in VT

Practice address

21 Quail Run
New London, NH 03257-5871

Phone

(908) 917-6990

NPI assigned

Mar 14, 2024

Last updated

Mar 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, VT2 enrollments

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

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

• Supportive Care of New Hampshire LLC

  • Clinical Psychologist
  • Derry, NH
  • NPI 1013657618
  Medicare reassignment NPD
• Supportive Care of Vermont LLC

  • Clinical Psychologist
  • Richmond, VT
  • NPI 1245969690
  Medicare reassignment NPD

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1831958750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 QUAIL RUN",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575871",
            "telephone_number": "908-917-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 QUAIL RUN",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575871",
            "telephone_number": "908-917-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINO",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "LCMC, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2776",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0135622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Lucas, M.D.
• Lumina Expressive Arts Counseling
• Sean Lyon, APRN
• Robert M Madden
• Bruce Alexander Magoon, LCMHC
• Griffin Manning, ARNP
• Brook-Lynne Marcotte
• Patricia Martick-Campbell, MS, LADC
• Katherine Martin
• Maria Luiza Martins, MD

• Mental Health Counselor in New London, NH
• Providers in New London, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.