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NICOLE BLUMBERG LMHC
NPI 1043896228
Counselor - Mental Health in Staten Island, NY

Active since March 19, 2021PECOS Enrolled
777 SEAVIEW AVE BLDG 10, STATEN ISLAND, NY 10305(718) 668-8155(718) 668-8107 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2022, Mar 19, 2021 (2 updates tracked since 2021).

About Nicole Blumberg Lmhc NPPES

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

NICOLE BLUMBERG LMHC (NPI 1043896228) is an individual mental health provider in Staten Island, New York and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043896228
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE BLUMBERGCredential: LMHC
Location Address777 SEAVIEW AVE BLDG 10Staten Island, NY 10305-3409
Mailing Address777 Seaview Ave Bldg 10Staten Island, NY 10305-3409 · (718) 668-8155 · Fax (718) 668-8107
Phone(718) 668-8155
Fax(718) 668-8107
Sole ProprietorNo
Enumeration DateMarch 19, 2021
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1043896228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
777 SEAVIEW AVE BLDG 10, Staten Island, NY 10305
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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 Blumberg Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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

BRITT JESSICA MYRHOL-CLARKE
Counselor (Mental Health)
777 SEAVIEW AVE BLDG 10
STATEN ISLAND, NY 10305
Richmond County (718) 667-2429
DR. TATYANA NAGORNAIA M.D.
Psychiatry & Neurology (Psychiatry)
777 SEAVIEW AVE BLDG 10
STATEN ISLAND, NY 10305
Richmond County (781) 667-8222
KAREN ELIZABETH DANIS PHD
Psychologist
777 SEAVIEW AVE BLDG 10
STATEN ISLAND, NY 10305
Richmond County (718) 667-2300

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 Blumberg's NPI number?

The NPI number for Nicole Blumberg is 1043896228. It was assigned to this individual provider in the NPPES registry on March 19, 2021.

Where is Nicole Blumberg located?

Nicole Blumberg practices at 777 Seaview Ave Bldg 10, Staten Island, NY 10305. The listed phone number is (718) 668-8155.

What is Nicole Blumberg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicole Blumberg enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Blumberg was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.