NICOLE ENDRESS (M.ED., NCC, LPC) – Professional Counselor, NPI 1558725960

NICOLE ENDRESS (M.ED., NCC, LPC) is a healthcare provider. based in Tyrone, Pennsylvania. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.ED., NCC, LPC. They hold a License No. PC008861 (PA). The NPI Number for NICOLE ENDRESS (M.ED., NCC, LPC) is 1558725960

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE ENDRESS (M.ED., NCC, LPC)
NPI
1558725960
Phone
(814) 684-0174
Address
6997 KETTLE RD
Enumeration Date
12 April 2016
Last Update Date
12 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8146430547
Graduation Year
2008 (18 years ago)
PAC ID
6800235664
Professional Enrollment ID
I20240413000078
Address ID
PA166526966HU9048XHWYX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,541 MENTAL HEALTH COUNSELOR in PA

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Provider Addresses for NICOLE ENDRESS (M.ED., NCC, LPC)

  • Kettle Road, Tyrone Township, Blair County, Pennsylvania, 16683, United States

    TYRONE, PA 166866561

    Phone: (814) 684-0174

    Type: Mailing

  • William Penn Highway, Shaffersville, Morris Township, Huntingdon County, Pennsylvania, 16683, United States

    SUITE 4

    HUNTINGDON, PA 166526966

    Phone: (814) 515-6220

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240413000078IMental Health CounselorPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 16686)

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Reviews

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Frequently asked questions

Does NICOLE ENDRESS (M.ED., NCC, LPC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NICOLE ENDRESS (M.ED., NCC, LPC) uses 1558725960.
Does the file indicate NICOLE ENDRESS (M.ED., NCC, LPC) is practicing under active NPI?
Directory data currently reports NICOLE ENDRESS (M.ED., NCC, LPC) as active.
What taxonomy line describes NICOLE ENDRESS (M.ED., NCC, LPC)?
For research purposes, treat NICOLE ENDRESS (M.ED., NCC, LPC) as Professional Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for NICOLE ENDRESS (M.ED., NCC, LPC)?
NICOLE ENDRESS (M.ED., NCC, LPC)'s geographic hint is Tyrone, Pennsylvania in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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