Nicole Willcox, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7874717 Issued in NY

Practice address

183 Old Belmont Ave
Bala Cynwyd, PA 19004-1934

Phone

(610) 664-6200

Fax

(610) 664-6202

NPI assigned

Jan 6, 2012

Last updated

Oct 22, 2012By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Behavior Analysis & Therapy Partners

  • Psychologist
  • Bala Cynwyd, PA
  • NPI 1588723282
  NPD (past)

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1871863894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 OLD BELMONT AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041934",
            "telephone_number": "610-664-6200",
            "fax_number": "610-664-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 OLD BELMONT AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041934",
            "telephone_number": "610-664-6200",
            "fax_number": "610-664-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLCOX",
        "first_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "7874717",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Lias, LLC
• Ronald J Werrin, MD
• Jeffrey Wexler, PSY.D.
• Amanda Wiese, CRNP
• Shyra Wiggins
• William K. Sherwin MD PHD (Bala Dermatology)
• Ada D Wilson, BA
• Arnold Charles Winkelman, MD
• Katherine Wisochanski, DPT, PT
• Wissahickon Hospice of Uphs

• Mental Health Counselor in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.