NICKOLE DEREINZI (NPI# 1588083083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588083083 |
| Entity Type | Individual |
| Full Name | NICKOLE DEREINZI |
| Credential | LPC |
| Practice Address |
1259 S Cedar Crest Blvd Suite 230 Allentown PA 18103-6372 |
| Mailing Address |
Po Box 1754 Allentown PA 18105-1754 |
| Practice Telephone | 6104025900 |
| Practice Fax Number | 6108212038 |
| Mailing Telephone | 4848844500 |
| Mailing Fax Number | 4848840699 |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2014-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC005610 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1259 S CEDAR CREST BLVD SUITE 230 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033384 | Robert M Gordon | Psychologist | 1259 S Cedar Crest Blvd, Ste 325, Allentown, PA 18103-6206 | 2005-06-16 |
| 1093348112 | Carmeli Marie Senupe Tremucha | Physical Medicine & Rehabilitation | 1259 S Cedar Crest Blvd, Allentown, PA 18103-6372 | 2020-02-17 |
| 1093241267 | Francisco Jovani Alvarado | Surgery | 1259 S Cedar Crest Blvd, Allentown, PA 18103-6372 | 2017-05-10 |
| 1689100778 | Youngmin Chu | Surgery | 1259 S Cedar Crest Blvd, Department of Surgery, Allentown, PA 18103-6372 | 2017-05-10 |
| 1568994143 | Marc Taylor Mitton | Dermatology | 1259 S Cedar Crest Blvd, Allentown, PA 18103 | 2017-04-01 |
| 1518327345 | Revolutionary Home Heatlh, Inc | Home Health | 1259 S Cedar Crest Blvd, Suite 255, Allentown, PA 18103-6372 | 2016-03-07 |
| 1568821650 | Lehigh Valley Physician Group | Pain Medicine | 1259 S Cedar Crest Blvd, Ste 301, Allentown, PA 18103-6372 | 2016-02-17 |
| 1093197741 | Christian A Pothering | Surgery | 1259 S Cedar Crest Blvd, Allentown, PA 18103-6372 | 2015-06-18 |
| 1902291164 | Claire Otteni Dorfman | Dermatology | 1259 S Cedar Crest Blvd, Suite 100, Allentown, PA 18103-6372 | 2015-04-03 |
| 1023420361 | Elise Scoggin | Dermatology | 1259 S Cedar Crest Blvd, Suite 100, Allentown, PA 18103-6372 | 2014-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972140457 | Jessica Bratt | Counselor | 2020 Downyflake Ln Ste F, Allentown, PA 18103-4917 | 2019-12-04 |
| 1417513227 | Hannah Collett | Counselor | 2132 S 12th Street, Suite 402, Allentown, PA 18103-4810 | 2019-05-16 |
| 1679045967 | Blue Oasis Therapeutic Services LLC | Counselor | 2233 Walbert Ave Ste 202, Allentown, PA 18104-1363 | 2018-12-26 |
| 1558830976 | Victoria Torres | Counselor | 977f Village Round, Allentown, PA 18106-9785 | 2018-11-14 |
| 1245760917 | Lindsay Marie Fleishman | Counselor | 968 Postal Rd Ste 315, Allentown, PA 18109-9349 | 2017-06-15 |
| 1003342080 | Ida Andrea Olmeda | Counselor | 1700 Hanover Ave, Allentown, PA 18109-2451 | 2017-05-11 |
| 1326598186 | Tasha Behnke | Counselor | 1329 Hamilton St # 3, Allentown, PA 18102-4328 | 2016-10-05 |
| 1720431711 | Melissa Pfancook | Counselor | 450 Chew St Ste 203, Allentown, PA 18102-3434 | 2016-07-14 |
| 1487025847 | Maryanne Manula-kosciolek | Counselor | 922 N Berks St, Allentown, PA 18104-3608 | 2015-10-12 |
| 1780003996 | Amy Hausman | Counselor | 1611 Pond Rd Ste 401, Allentown, PA 18104-2258 | 2014-04-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.