Individual provider Active NPI

Nicole Roxolana Palaio, LPC

  • Mental Health Counselor
  • Wyndmoor, PA
National Provider Identifier
1962046854
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8508 Elliston Dr
Wyndmoor, PA 19038-7960
Phone
(215) 906-7305
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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 Primary

Addresses

Primary practice location

8508 Elliston Dr
Wyndmoor, PA 19038-7960

Mailing address

7831 Flourtown Ave
Wyndmoor, PA 19038-8012
Phone (215) 906-7305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 4, 2025 through Dec 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1962046854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7831 FLOURTOWN AVE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190388012",
            "telephone_number": "215-906-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8508 ELLISTON DR",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387960",
            "telephone_number": "215-906-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAIO",
        "first_name": "NICOLE",
        "middle_name": "ROXOLANA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyndmoor, PA

Sources for this page

Verify at the official NPI Registry.