Active NPIIndividual providerSole proprietor

Miss Nicole Boston, LPC, MA, MHS

Counselor, Professional in Willingboro, New Jersey

NPI Number1063899748
Practice location
31 Peartree Ln, Willingboro, NJ 08046-2709
Fax
—
Last updated
May 23, 2016

Nicole Boston is a Counselor, Professional based in Willingboro, NJ. Nicole Boston practices in Willingboro, NJ and has the professional credentials of LPC, MA, MHS. The NPI Number for Nicole Boston is 1063899748 and holds a License No. PC008130 (PA). The current practice location address for Nicole Boston is 31 Peartree Ln, Willingboro, NJ 08046-2709 and can be reached out via phone at 267-456-4765.

Provider Profile Details

NPI Number
1063899748
Provider Name
Nicole Boston
Credential
LPC, MA, MHS
Provider Entity Type
Individual
Gender
Female
Address
31 Peartree Ln, Willingboro, NJ 08046-2709
Phone Number
267-456-4765
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
May 1, 2015
Last Update Date
May 23, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Peartree Ln
Willingboro, NJ 08046-2709
Zip
08046-2709
Phone Number
267-456-4765
Willingboro, NJ 08046Get directions →

Provider Business Mailing Address Details

Address
31 Peartree Ln
Willingboro, NJ 08046-2709
City
Willingboro
State
NJ
Zip
08046-2709
Phone Number
267-456-4765

License Information

License Number (1)
PC008130
License State (1)
PA
Taxonomy (1)
Counselor, Professional · 101YP2500X
License Number (2)
37PC00551500
License State (2)
NJ
Taxonomy (2)
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Nicole Boston, LPC, MA, MHS?

The NPI number of Miss Nicole Boston, LPC, MA, MHS is 1063899748. It was assigned on May 1, 2015 and is currently active in the NPPES registry.

What is the specialty of Miss Nicole Boston, LPC, MA, MHS?

Miss Nicole Boston, LPC, MA, MHS is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in PA under license number PC008130.

Where does Miss Nicole Boston, LPC, MA, MHS practice?

The practice location is 31 Peartree Ln, Willingboro, NJ 08046-2709. The office can be reached at 267-456-4765 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063899748 directly on the NPPES registry website.

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