Sharon Nistico, LMHC, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

012880 Issued in NY

Practice address

236 Crystal Run Rd Ste 1
Middletown, NY 10941-4061

Phone

(845) 418-6480

NPI assigned

Oct 19, 2022

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Previously, effective Sep 9, 2024 through Sep 9, 2026

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 and National Provider Directory roles.

• Jessica C. Sullivan LCSW, PLLC

  • Clinical Social Worker
  • Monroe, NY
  • NPI 1811532385
  NPD (past)

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1972229110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 STATE ROUTE 17M STE 4",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 CRYSTAL RUN RD STE 1",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414061",
            "telephone_number": "845-418-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISTICO",
        "first_name": "SHARON",
        "credential": "LMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "012880",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC01040200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Josephine Nicholas
• Ira W Nierenberg, M.D.
• Hazel Nieves, MS SP ED.
• Nightingales Helping Hands LLC
• Ervant V Nishanian, M.D.
• Jack R Nizewitz, O.D.
• Laura Sue Nizewitz, LCSW-R
• Emmanuel O Nketiah, MD
• Bright Boafo Nkrumah, PA
• Maria Noa, FNP

• Counselor in Middletown, NY
• Providers in Middletown, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.