Individual provider Active NPI

Nichole Lynn Darosh, M. ED, BSL, LPC

  • Professional Counselor
  • Wyomissing, PA
National Provider Identifier
1942767397
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1105 Berkshire Blvd Ofc 110
Wyomissing, PA 19610-1248
Phone
(610) 374-4963
Fax
(610) 378-5403
NPI assigned
Feb 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1105 Berkshire Blvd Ofc 110
Wyomissing, PA 19610-1248

Mailing address

1105 Berkshire Blvd Ofc 110
Wyomissing, PA 19610-1248
Phone (610) 374-4963

Other identifiers 1

IdentifierTypeStateIssuer
1025045820003MedicaidPA

Other names 1

  • Nichole Lynn Coccia Former name

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
I20240131001522 PA Practitioner - Mental Health Counselor 6002269628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

833 N Park Rd
Suite 300
Wyomissing, PA 19610-1341
Phone (610) 301-7596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science - Law, Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
I Am Counseling LLC Counselor CurrentSince Jan 1, 2025 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Jan 1, 2025 Accepting new patients
Berks Counseling Center, Inc. PastSince Jul 24, 2022 Accepting new patients
Berks Counseling Center, Inc. PastSince Jul 10, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

833 N Park Rd
Ste 300
Wyomissing, PA 19610
Phone (610) 301-7596

Organizations & group practices 4

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": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1942767397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 BERKSHIRE BLVD OFC 110",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101248",
            "telephone_number": "610-374-4963",
            "fax_number": "610-378-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 BERKSHIRE BLVD OFC 110",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101248",
            "telephone_number": "610-374-4963",
            "fax_number": "610-378-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAROSH",
        "first_name": "NICHOLE",
        "middle_name": "LYNN",
        "credential": "M. ED, BSL, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025045820003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "COCCIA",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.