NICOLE C WHITE LPC
NPI 1003163544
Counselor - Professional in State College, PA
About Nicole C White Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE C WHITE LPC (NPI 1003163544) is an individual professional provider in State College, Pennsylvania, licensed in Pennsylvania (PC004722) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole C White Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Nicole White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
State College, PA 16801
- Reassigned Medicare billing, Pennsylvania enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATE COLLEGE, PA 16801
STATE COLLEGE, PA 16801
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicole White's NPI number?
The NPI number for Nicole White is 1003163544. It was assigned to this individual provider in the NPPES registry on August 14, 2012.
Where is Nicole White located?
Nicole White practices at 270 Walker Dr Suite 108A, State College, PA 16801. The listed phone number is (610) 644-6464.
What is Nicole White's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Nicole White enrolled in Medicare?
Yes. Nicole White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Nicole White's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole White reassigns Medicare benefits to Serenity Wellness Centre, LLC (State College, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole White accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nicole White as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nicole White was last updated on August 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicole C White, LPC · NPI 1003163544
Professional provider in State College, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 14, 2012.
## Identity
- **NPI:** 1003163544 (Entity type: Individual)
- **Enumerated:** August 14, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC004722 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 270 WALKER DR, SUITE 108A, State College, PA 16801-7097
- **Phone:** (610) 644-6464 · **Fax:** (610) 889-0732
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Serenity Wellness Centre, LLC (NPI 1790155828, State College, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** August 14, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1003163544) · Data from the CMS NPPES public registry.