MR. NICHOLAS M STANCO LPC
NPI 1235580655
Counselor - Mental Health in Clark, NJ

Active since June 27, 2016PECOS EnrolledAccepts Medicare Assignment
100 WALNUT AVENUE, SUITE 210, CLARK, NJ 07066(201) 429-5720 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 21, 2025, Jun 10, 2024, Apr 30, 2017 and 2 more (5 updates tracked since 2016).

About Mr. Nicholas M Stanco Lpc NPPES

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

MR. NICHOLAS M STANCO LPC (NPI 1235580655) is an individual mental health provider in Clark, New Jersey, licensed in New Jersey (37PC00544200) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cranston, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1235580655
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. NICHOLAS M STANCOCredential: LPC
Location Address100 WALNUT AVENUE, SUITE 210Clark, NJ 07066
Mailing Address100 Walnut Avenue, Suite 210Clark, NJ 07066 · (201) 429-5720
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 27, 2016
Last NPPES UpdateNovember 21, 20255 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1235580655 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 NJ · 37PC00544200
100 WALNUT AVENUE, Clark, NJ 07066

Secondary Practice Location 1

Location 11150 Reservoir Ave Ste 203Cranston, RI 02920-6032 · Phone (401) 259-0340 · Fax (401) 213-8538

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

Mr. Nicholas M Stanco 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 ID9133655590
PECOS Enrollment IDI20241209001872
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicholas Stanco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation, Substance Use Disorder
108 ALDEN ST
Cranford, NJ 07016
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Mount Carmel Guild Behavioral Health
  • 17 clinicians in this Medicare group
Mental Health
1150 RESERVOIR AVE STE 203
Cranston, RI 02920
  • Reassigned Medicare billing, Rhode Island enrollment
  • 65 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 2

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

Counselor (Professional)
100 WALNUT AVENUE, SUITE 210
CLARK, NJ 07066
Counselor (Professional)
100 WALNUT AVENUE, SUITE 210
CLARK, NJ 07066

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 Nicholas Stanco's NPI number?

The NPI number for Nicholas Stanco is 1235580655. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Nicholas Stanco located?

Nicholas Stanco practices at 100 Walnut Avenue Suite 210, Clark, NJ 07066. The listed phone number is (201) 429-5720.

What is Nicholas Stanco's specialty?

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

Is Nicholas Stanco enrolled in Medicare?

Yes. Nicholas Stanco 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 organizations bill Medicare for Nicholas Stanco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Stanco reassigns Medicare benefits to 2 organizations: Mount Carmel Guild Behavioral Health System (Cranford, NJ) and Rhode Island Counseling Associates LLC (Cranston, RI). Each 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 Nicholas Stanco'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 Nicholas Stanco was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.