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NICHOLOS GRANT LPC
NPI 1124858329
Counselor - Professional in Wyncote, PA

Active since August 03, 2024PECOS EnrolledAccepts Medicare Assignment
2401 W CHELTENHAM AVE, WYNCOTE, PA 19095(215) 444-7471(215) 695-2935 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2024, Aug 3, 2024 (2 updates tracked since 2024).

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

NPI1124858329
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameNICHOLOS GRANTCredential: LPC
Location Address2401 W CHELTENHAM AVEWyncote, PA 19095-2946
Mailing AddressPo Box 746722Atlanta, GA 30374-6722 · (773) 352-1515
Phone(215) 444-7471
Fax(215) 695-2935
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 3, 2024
Last NPPES UpdateApril 28, 20252 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1124858329 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 PA · PC017383
2401 W CHELTENHAM AVE, Wyncote, PA 19095
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Secondary Practice Location 1

Location 15750 N 12th StPhiladelphia, PA 19141-4111 · Phone (267) 481-1671

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

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.

PECOS PAC ID3274060819
PECOS Enrollment IDI20241220002513
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 11

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

AUGUSTINA FAKIYESI
Nurse Practitioner (Family)
2401 W CHELTENHAM AVE
WYNCOTE, PA 19095
Montgomery County (215) 444-7471
DR. KEVIN CHARLES SCOTT M.D.
Family Medicine
2401 W CHELTENHAM AVE
WYNCOTE, PA 19095
Montgomery County (215) 444-7471
PHILADELPHIA VISION CENTER OF MONTGOMERY COUNTY INC
Optometrist (Corneal and Contact Management)
2401 W CHELTENHAM AVE, SUITE 230
WYNCOTE, PA 19095
Montgomery County (215) 885-8500
GRACE OTTING FNP-C
Nurse Practitioner
2401 W CHELTENHAM AVE
WYNCOTE, PA 19095
Montgomery County (267) 436-0322
ELIZABETH KLOTZ LCSW
Social Worker (Clinical)
2401 W CHELTENHAM AVE
WYNCOTE, PA 19095
Montgomery County (215) 444-7471
SARAH CATHERINE MAHEADY PHARMD
Pharmacist
2401 W CHELTENHAM AVE
WYNCOTE, PA 19095
Montgomery County (215) 360-3038
QUISHA SHERANE ALEXANDER ROBERTSON FNP
Nurse Practitioner (Family)
2401 W CHELTENHAM AVE
WYNCOTE, PA 19095
Montgomery County (215) 444-7471
REGINA E STANTON CRNP
Nurse Practitioner (Family)
2401 W CHELTENHAM AVE
WYNCOTE, PA 19095
Montgomery County (215) 444-7471

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.

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 15 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.