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NICOLE DIAZ
NPI 1053004085
Counselor - Mental Health in New York, NY

Active since May 26, 2023PECOS Enrolled
928 BROADWAY STE 500, NEW YORK, NY 10010(833) 775-6252 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Diaz NPPES

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

NICOLE DIAZ (NPI 1053004085) is an individual mental health provider in New York, New York and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053004085
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE DIAZ
Location Address928 BROADWAY STE 500New York, NY 10010-8148
Mailing Address3 Parkview PlElmont, NY 11003-4817
Phone(833) 775-6252
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 26, 2023
NPPES CertifiedMay 26, 2023
✔ NPI 1053004085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
928 BROADWAY STE 500, New York, NY 10010
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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 Diaz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698265577
PECOS Enrollment IDI20251107004272
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.

RESILIENCE PSYCHOTHERAPY LCSW PC
Social Worker (Clinical)
928 BROADWAY STE 500
NEW YORK, NY 10010
New York County (833) 775-6252
MS. JENNIFER A NEELY LCSW-R
Social Worker (Clinical)
928 BROADWAY STE 500
NEW YORK, NY 10010
New York County (212) 242-0231
NYC INTEGRATIVE PSYCHOTHERAPY LCSW PLLC
Social Worker (Clinical)
928 BROADWAY STE 500
NEW YORK, NY 10010
New York County (646) 872-5451
ERIKA VIDALES LCSW
Social Worker (Clinical)
928 BROADWAY STE 500
NEW YORK, NY 10010
New York County (646) 849-1975
CHARLOTTE YARBORO LMSW
Social Worker
928 BROADWAY STE 500
NEW YORK, NY 10010
New York County (256) 581-0556
JENNIFER MARTINEZ
Social Worker (Clinical)
928 BROADWAY STE 500
NEW YORK, NY 10010
New York County (917) 512-1773
RAINBOW-WOLF SABIN LSW
Social Worker (Clinical)
928 BROADWAY STE 500
NEW YORK, NY 10010
New York County (215) 821-9599
EMILY THAM
Counselor (Mental Health)
928 BROADWAY STE 500
NEW YORK, NY 10010
New York County (833) 775-6252

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 Diaz's NPI number?

The NPI number for Nicole Diaz is 1053004085. It was assigned to this individual provider in the NPPES registry on May 26, 2023.

Where is Nicole Diaz located?

Nicole Diaz practices at 928 Broadway Ste 500, New York, NY 10010. The listed phone number is (833) 775-6252.

What is Nicole Diaz's specialty?

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

Is Nicole Diaz enrolled in Medicare?

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

What insurance does Nicole Diaz accept?

Health plans from Providence Health Plan list Nicole Diaz 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 Diaz was last updated on May 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.