Nicole C Nicholson, MS, CAS, NCC, LMHC - Medicare Counselor in Syracuse, NY

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Nicole C Nicholson, MS, CAS, NCC, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Syracuse, New York. Her current practice location is 1045 James St, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 472-4471.

Nicole C Nicholson is licensed to practice in New York (license number P68122) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881909455.

Contact Information

Nicole C Nicholson, MS, CAS, NCC, LMHC
1045 James St,
Syracuse, NY 13203-2730
(315) 472-4471
(315) 472-1759

Map and Direction


Healthcare Provider's Profile

Full NameNicole C Nicholson
GenderFemale
SpecialityCounselor - Mental Health
Location1045 James St, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881909455
  • Provider Enumeration Date: 08/08/2010
  • Last Update Date: 08/04/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6507217072
  • Enrollment ID: I20240109002552

Medical Identifiers

Medical identifiers for Nicole C Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881909455NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health P68122 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole C Nicholson allows following entities to bill medicare on her behalf.
Entity NameLiberty Resources Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225254881
PECOS PAC ID: 4486703352
Enrollment ID: O20090526000025

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole C Nicholson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole C Nicholson, MS, CAS, NCC, LMHC
1045 James St,
Syracuse, NY 13203-2730

Ph: (315) 472-4471		Nicole C Nicholson, MS, CAS, NCC, LMHC
1045 James St,
Syracuse, NY 13203-2730

Ph: (315) 472-4471

Reviews and Comments


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Mrs. Kristen Beeles, LMHC, CASAC
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Phone: 315-472-7363    Fax: 315-472-0084
David Lee Ford Jr.,
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Kayla Marie Hayes, CASAC
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Practice Location: 329 N Salina Street, Syracuse, NY 13203
Phone: 315-434-5333    
Ms. Cynthia Rose Badger, L.C.S.W.-R
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Practice Location: 530 Oak St, Syracuse, NY 13203
Phone: 315-439-6048    Fax: 315-473-9300
Mr. Marcin Robert Zak, LMHC
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Practice Location: 1045 James St Ste 100, Syracuse, NY 13203
Phone: 315-472-4471    
Holly Lynn Weiler, LCAT
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Practice Location: 329 N Salina St, Syracuse, NY 13203
Phone: 315-471-1564    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.