NICHOLAS REILLY (LPC) – Professional Counselor, NPI 1831721620

NICHOLAS REILLY (LPC) is a healthcare provider. based in Bethlehem, Pennsylvania. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. PC010922 (PA). The NPI Number for NICHOLAS REILLY (LPC) is 1831721620

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS REILLY (LPC)
NPI
1831721620
Phone
Not provided
Address
2456 BRODHEAD RD
Enumeration Date
10 February 2020
Last Update Date
10 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4842732440
Graduation Year
2014 (12 years ago)
PAC ID
6103277660
Group Practice PAC ID
5597203596
Professional Enrollment ID
I20240109002326
Address ID
PA180455156EA3600XSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,581 MENTAL HEALTH COUNSELOR in PA

Provider Addresses for NICHOLAS REILLY (LPC)

  • 2456 BRODHEAD RD

    BETHLEHEM, PA 180208900

    Phone:

    Mailing address matches the actual address.

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: 2024-01-09

PECOS data refreshed: 2026-06-15

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
I20240109002326IMental 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 18020)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597203596View full group profile
NameSpecialtyState
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA

Reviews

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Frequently asked questions

How do I look up NICHOLAS REILLY (LPC) by NPI?
Use NPI 1831721620 when you need to reference NICHOLAS REILLY (LPC) in forms, claims, or directories.
Is NICHOLAS REILLY (LPC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize NICHOLAS REILLY (LPC)'s specialty in plain language?
Clinically, the directory lists NICHOLAS REILLY (LPC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
What location shows for NICHOLAS REILLY (LPC)?
We surface Bethlehem, Pennsylvania for NICHOLAS REILLY (LPC) based on available NPPES addresses.
What if Bethlehem, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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