Nicole Holler-blackmon, LPC in Mechanicsville, VA

Nicole Holler-blackmon, LPC is a medicare enrolled "Counselor - Mental Health" provider in Mechanicsville, Virginia. Her current practice location is 9193 Swannanoa Trl, Mechanicsville, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 477-4808.

Nicole Holler-blackmon is licensed to practice in Virginia (license number 0701009509) 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 1518545649.

Contact Information

	Nicole Holler-blackmon, LPC
	9193 Swannanoa Trl, Mechanicsville, VA 23116-3918
	(804) 477-4808
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Holler-blackmon
Gender	Female
Speciality	Counselor - Mental Health
Location	9193 Swannanoa Trl, Mechanicsville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518545649
Provider Enumeration Date: 03/30/2021
Last Update Date: 03/30/2021

Medicare PECOS Information:

PECOS PAC ID: 9537503669
Enrollment ID: I20240216002822

Medical Identifiers

Medical identifiers for Nicole Holler-blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518545649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	0701009509 (Virginia)	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 Holler-blackmon allows following entities to bill medicare on her behalf.

Entity Name	Realign Your Mind Counseling Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427638345 PECOS PAC ID: 4385091172 Enrollment ID: O20240216000743

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 Holler-blackmon 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 Address	Practice Location Address
Nicole Holler-blackmon, LPC 9193 Swannanoa Trl, Mechanicsville, VA 23116-3918 Ph: (804) 477-4808	Nicole Holler-blackmon, LPC 9193 Swannanoa Trl, Mechanicsville, VA 23116-3918 Ph: (804) 477-4808

Reviews and Comments

Counselor in Mechanicsville, VA

Mr. David James Rogers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10426 Summer Hill Rd, Mechanicsville, VA 23116 Phone: 804-922-1486
Mr. Jeffrey S Parsons, RESIDENT IN COUNSELI Counselor Medicare: Not Enrolled in Medicare Practice Location: 7308 Hanover Green Dr Ste 300, Mechanicsville, VA 23111 Phone: 804-781-4418
Ms. Jessie Lee Bryant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7301 Hanover Green Dr, Mechanicsville, VA 23111 Phone: 804-874-9929
Mrs. Patricia Crowder Horner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8249 Crown Colony Pkwy, Suite 200, Mechanicsville, VA 23116 Phone: 804-789-1224 Fax: 804-789-9564
Elizabeth Van Gorder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6366 Mechanicsville Tpke Ste 203, Mechanicsville, VA 23111 Phone: 804-398-8401
Mary Polce-lynch, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7515 Right Flank Rd, Mechanicsville, VA 23116 Phone: 804-288-4084 Fax: 804-559-2046
Ms. Sarah Elise Gathright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8021 Lee Davis Rd, Mechanicsville, VA 23111 Phone: 804-723-2270

Nicole Holler-blackmon, LPC - Medicare Counselor in Mechanicsville, VA