NICHOLOS GRANT LPC
NPI 1124858329
Counselor - Professional in Wyncote, PA
About Nicholos Grant Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLOS GRANT LPC (NPI 1124858329) is an individual professional provider in Wyncote, Pennsylvania, licensed in Pennsylvania (PC017383) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Nicholos Grant 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 Nicholos Grant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19134
- Reassigned Medicare billing, Pennsylvania enrollment
- 196 clinicians in this Medicare group
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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WYNCOTE, PA 19095
WYNCOTE, PA 19095
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 Nicholos Grant's NPI number?
The NPI number for Nicholos Grant is 1124858329. It was assigned to this individual provider in the NPPES registry on August 3, 2024.
Where is Nicholos Grant located?
Nicholos Grant practices at 2401 W Cheltenham Ave, Wyncote, PA 19095. The listed phone number is (215) 444-7471.
What is Nicholos Grant's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Nicholos Grant enrolled in Medicare?
Yes. Nicholos Grant 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 Nicholos Grant's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholos Grant reassigns Medicare benefits to Osh - PA Physicians Group, PC (Philadelphia, 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 Nicholos Grant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicholos Grant was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Nicholos Grant, LPC · NPI 1124858329
Professional provider in Wyncote, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 3, 2024.
## Identity
- **NPI:** 1124858329 (Entity type: Individual)
- **Enumerated:** August 3, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC017383 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2401 W CHELTENHAM AVE, Wyncote, PA 19095-2946
- **Phone:** (215) 444-7471 · **Fax:** (215) 695-2935
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Osh - PA Physicians Group, PC (NPI 1811405533, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 28, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1124858329) · Data from the CMS NPPES public registry.