Nicole Drake, LPC, LCADC, ACS
Counselor, Mental Health in Keyport, New Jersey
1407257785- Practice location
- 36 Green Grove Ave, #2, Keyport, NJ 07735-1839
- Phone
- 908-693-5279
- Fax
- —
- Last updated
- September 5, 2014
Nicole Drake is a Counselor, Mental Health based in Keyport, NJ. Nicole Drake practices in Keyport, NJ and has the professional credentials of LPC, LCADC, ACS. The NPI Number for Nicole Drake is 1407257785 and holds a License No. 37LC00157100 (NJ). The current practice location address for Nicole Drake is 36 Green Grove Ave, #2, Keyport, NJ 07735-1839 and can be reached out via phone at 908-693-5279.
Provider Profile Details
- NPI Number
- 1407257785
- Provider Name
- Nicole Drake
- Credential
- LPC, LCADC, ACS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 36 Green Grove Ave, #2, Keyport, NJ 07735-1839
- Phone Number
- 908-693-5279
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 5, 2014
- Last Update Date
- September 5, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 36 Green Grove Ave
#2
Keyport, NJ 07735-1839 - City
- Keyport
- State
- New Jersey
- Zip
- 07735-1839
- Phone Number
- 908-693-5279
Provider Business Mailing Address Details
- Address
- 36 Green Grove Ave
#2
Keyport, NJ 07735-1839 - City
- Keyport
- State
- NJ
- Zip
- 07735-1839
- Phone Number
- 908-693-5279
License Information
- License Number (1)
- 37LC00157100
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 37PC00452300
- License State (2)
- NJ
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Keyport, NJ
View all Counselor, Mental Health providers in Keyport →Frequently Asked Questions
What is the NPI number of Nicole Drake, LPC, LCADC, ACS?
The NPI number of Nicole Drake, LPC, LCADC, ACS is 1407257785. It was assigned on September 5, 2014 and is currently active in the NPPES registry.
What is the specialty of Nicole Drake, LPC, LCADC, ACS?
Nicole Drake, LPC, LCADC, ACS is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37LC00157100.
Where does Nicole Drake, LPC, LCADC, ACS practice?
The practice location is 36 Green Grove Ave, #2, Keyport, NJ 07735-1839. The office can be reached at 908-693-5279 (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 1407257785 directly on the NPPES registry website.