Individual provider Active NPI

Nicole Lynn Rosoline, LPC

  • Mental Health Counselor
  • Prospect Park, NJ
National Provider Identifier
1902541279
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00842600 Issued in NJ
Practice address
269 N 10TH St
Prospect Park, NJ 07508-2009
Phone
(973) 396-6202
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00842600 NJ Primary

Addresses

Primary practice location

269 N 10TH St
Prospect Park, NJ 07508-2009

Mailing address

269 N 10TH St
Prospect Park, NJ 07508-2009
Phone (973) 396-6202

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.betterhelp.com

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
37PC00842600NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1902541279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 N 10TH ST",
            "city": "PROSPECT PARK",
            "state": "NJ",
            "postal_code": "075082009",
            "telephone_number": "973-396-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 N 10TH ST",
            "city": "PROSPECT PARK",
            "state": "NJ",
            "postal_code": "075082009",
            "telephone_number": "973-396-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSOLINE",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00842600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.betterhelp.com",
            "affiliation": "N",
            "address_1": "269 N 10th St",
            "city": "Prospect Park",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "075082009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prospect Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.