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NICOLE BEALL LPC
NPI 1043615818
Counselor - Professional in New Haven, CT

Active since October 23, 2014PECOS Enrolled
400 COLUMBUS AVE, ADULT PSYCHIATRIC CLINIC, NEW HAVEN, CT 06519(203) 503-3075(203) 503-3296 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Beall Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE BEALL LPC (NPI 1043615818) is an individual professional provider in New Haven, Connecticut, licensed in Connecticut (3121) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1043615818
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE BEALLCredential: LPC
Location Address400 COLUMBUS AVE, ADULT PSYCHIATRIC CLINICNew Haven, CT 06519-1233
Mailing Address400 Columbus Ave, Credentialing SpecialistNew Haven, CT 06519-1233 · (203) 503-3174 · Fax (203) 503-3183
Phone(203) 503-3075
Fax(203) 503-3296
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 23, 2014
Last NPPES UpdateMarch 21, 2017
✔ NPI 1043615818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 3121
400 COLUMBUS AVE, New Haven, CT 06519
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Other Identifiers 1

Medicaid004235918CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Beall Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092167163
PECOS Enrollment IDI20260120002540
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL B KOPANSKI BA
Counselor
400 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3250
KAYLIE TOLOKAN
Social Worker
400 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3174
D'AMIRA KENDRICK LPCA
Social Worker
400 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
CLUNY GOMBAR LPC
Counselor (Professional)
400 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3055
CAROLYN OLAN LMSW
Social Worker
400 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3065
ALEXANDRA HIDALGO LMSW
Social Worker (Clinical)
400 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
ROBIN GOLDBERG DENTIST
Dentist (General Practice)
400 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3250
YAJAIRA BOLDEN DENTAL HYGIENIST
Dental Hygienist
400 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3731

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 Beall's NPI number?

The NPI number for Nicole Beall is 1043615818. It was assigned to this individual provider in the NPPES registry on October 23, 2014.

Where is Nicole Beall located?

Nicole Beall practices at 400 Columbus Ave Adult Psychiatric Clinic, New Haven, CT 06519. The listed phone number is (203) 503-3075.

What is Nicole Beall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicole Beall enrolled in Medicare?

Yes. Nicole Beall is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Beall accept?

Health plans from Providence Health Plan list Nicole Beall 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 Beall was last updated on March 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.