Nicolle Marie Tagert, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC009810 Issued in PA

Practice address

593 Bethlehem Pike Ste 5
Montgomeryville, PA 18936-9709

Phone

(610) 257-7884

NPI assigned

Jun 11, 2018

Last updated

Apr 24, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Child and Family Focus Inc.

  • Public Health or Welfare Agency
  • Hatboro, PA
  • NPI 1184304420
  NPD (past)

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1952894388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 PECAN DR",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461720",
            "telephone_number": "610-506-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 BETHLEHEM PIKE STE 5",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369709",
            "telephone_number": "610-257-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGERT",
        "first_name": "NICOLLE",
        "middle_name": "MARIE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC009810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth M. Skovron, DDS
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• Valley Prosthetics & Orthotics, Inc

• Mental Health Counselor in Montgomeryville, PA
• Providers in Montgomeryville, 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 Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.