NICOLE LV ANTONACCI
NPI 1104580380
Counselor - Mental Health in Niagara Falls, NY

Active since October 25, 2021PECOS EnrolledAccepts Medicare Assignment
2400 PINE AVE, NIAGARA FALLS, NY 14301(716) 505-1060 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Lv Antonacci NPPES

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

NICOLE LV ANTONACCI (NPI 1104580380) is an individual mental health provider in Niagara Falls, New York, licensed in New York (014714) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Buffalo, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104580380
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE LV ANTONACCI
Location Address2400 PINE AVENiagara Falls, NY 14301-2402
Mailing Address55 Dodge RdGetzville, NY 14068-1205 · (716) 831-2700
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 25, 2021
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
NPI 1104580380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 014714
2400 PINE AVE, Niagara Falls, NY 14301

Secondary Practice Location 1

Location 177 Broadway StBuffalo, NY 14203-1642 · Phone (716) 834-6401 ext. 2515 · Fax (716) 834-6782

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Lv Antonacci 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.

PECOS PAC ID2365884889
PECOS Enrollment IDI20240529001573
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.

Optometrist
2400 PINE AVE
NIAGARA FALLS, NY 14301
Social Worker (Clinical)
2400 PINE AVE
NIAGARA FALLS, NY 14301
Social Worker (Clinical)
2400 PINE AVE
NIAGARA FALLS, NY 14301
Counselor
2400 PINE AVE
NIAGARA FALLS, NY 14301
Counselor
2400 PINE AVE
NIAGARA FALLS, NY 14301
Peer Specialist
2400 PINE AVE
NIAGARA FALLS, NY 14301
Marriage & Family Therapist
2400 PINE AVE
NIAGARA FALLS, NY 14301
Case Manager/Care Coordinator
2400 PINE AVE
NIAGARA FALLS, NY 14301

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 Antonacci's NPI number?

The NPI number for Nicole Antonacci is 1104580380. It was assigned to this individual provider in the NPPES registry on October 25, 2021.

Where is Nicole Antonacci located?

Nicole Antonacci practices at 2400 Pine Ave, Niagara Falls, NY 14301. The listed phone number is (716) 505-1060.

What is Nicole Antonacci's specialty?

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

Is Nicole Antonacci enrolled in Medicare?

Yes. Nicole Antonacci 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.

When was this NPI record last updated?

The NPPES record for Nicole Antonacci was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.