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WILANDA NICOLAS LPC
NPI 1265206809
Counselor - Mental Health in Clark, NJ

Active since November 14, 2023PECOS Enrolled
100 WALNUT AVE, CLARK, NJ 07066(917) 722-1266 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 14, 2026, Nov 14, 2023 (2 updates tracked since 2023).

About Wilanda Nicolas Lpc NPPES

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

WILANDA NICOLAS LPC (NPI 1265206809) is an individual mental health provider in Clark, New Jersey, licensed in New Jersey (37PC01129600) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265206809
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameWILANDA NICOLASCredential: LPC
Location Address100 WALNUT AVEClark, NJ 07066-1253
Mailing Address100 Walnut AveClark, NJ 07066-1253 · (917) 722-1266
Phone(917) 722-1266
Sole ProprietorYes
Enumeration DateNovember 14, 2023
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1265206809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37PC01129600
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
100 WALNUT AVE, Clark, NJ 07066
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilanda Nicolas Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Wilanda Nicolas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Counseling Center At Clark, LLC
0.2 mi
Rehabilitation, Substance Use Disorder
60 WALNUT AVE, SUITE #201
Clark, NJ 07066
  • Reassigned Medicare billing, New Jersey enrollment
  • 31 clinicians in this Medicare group
NPI 1245637578 (732) 882-1920
Optum Behavioral Care Of Delaware, Inc
205 mi
Counseling
1 TARA BLVD STE 200
Nashua, NH 03062
  • Reassigned Medicare billing, New Hampshire enrollment
  • 13 clinicians in this Medicare group
NPI 1043083595 (603) 242-2296

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

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

WIL TO WELLNESS
Counselor (Mental Health)
100 WALNUT AVE
CLARK, NJ 07066
Union County (917) 722-1266

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 Wilanda Nicolas's NPI number?

The NPI number for Wilanda Nicolas is 1265206809. It was assigned to this individual provider in the NPPES registry on November 14, 2023.

Where is Wilanda Nicolas located?

Wilanda Nicolas practices at 100 Walnut Ave, Clark, NJ 07066. The listed phone number is (917) 722-1266.

What is Wilanda Nicolas's specialty?

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

Is Wilanda Nicolas enrolled in Medicare?

Yes. Wilanda Nicolas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Wilanda Nicolas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wilanda Nicolas reassigns Medicare benefits to 2 organizations: Counseling Center At Clark, LLC (Clark, NJ) and Optum Behavioral Care Of Delaware, Inc (Nashua, NH). 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 Wilanda Nicolas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wilanda Nicolas accept?

Health plans from Anthem Blue Cross and Blue Shield list Wilanda Nicolas 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 Wilanda Nicolas was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.