MRS. NICOLE DANIELLE SWAIN LPC
NPI 1396823613
Counselor - Professional in New Providence, NJ

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
890 MOUNTAIN AVE, NEW PROVIDENCE, NJ 07974(908) 277-8900(908) 508-8919 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Nicole Danielle Swain Lpc NPPES

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

MRS. NICOLE DANIELLE SWAIN LPC (NPI 1396823613) is an individual professional provider in New Providence, New Jersey, licensed in New Jersey (37PC00014300) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1396823613
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. NICOLE DANIELLE SWAINCredential: LPC
Location Address890 MOUNTAIN AVENew Providence, NJ 07974-1218
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300
Fax(908) 508-8919
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 2, 2006
Last NPPES UpdateMay 8, 2024
NPPES CertifiedMay 8, 2024
✔ NPI 1396823613 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 NJ · 37PC00014300
890 MOUNTAIN AVE, New Providence, NJ 07974

Accepted Insurance

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

Mrs. Nicole Danielle Swain 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 ID3274975263
PECOS Enrollment IDI20240522001374
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 Reassignment

Medicare enrollment records show Nicole Swain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,184 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
45 services12 patients

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.

Counselor (Addiction (Substance Use Disorder))
890 MOUNTAIN AVE
NEW PROVIDENCE, NJ 07974
Social Worker (Clinical)
890 MOUNTAIN AVE
NEW PROVIDENCE, NJ 07974
Pediatrics
890 MOUNTAIN AVE
NEW PROVIDENCE, NJ 07974
Counselor (Professional)
890 MOUNTAIN AVE
NEW PROVIDENCE, NJ 07974
Psychiatry & Neurology (Psychiatry)
890 MOUNTAIN AVE
NEW PROVIDENCE, NJ 07974
Social Worker (Clinical)
890 MOUNTAIN AVE
NEW PROVIDENCE, NJ 07974
Nurse Practitioner (Adult Health)
890 MOUNTAIN AVE
NEW PROVIDENCE, NJ 07974
Counselor (Professional)
890 MOUNTAIN AVE
NEW PROVIDENCE, NJ 07974

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 Swain's NPI number?

The NPI number for Nicole Swain is 1396823613. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Nicole Swain located?

Nicole Swain practices at 890 Mountain Ave, New Providence, NJ 07974. The listed phone number is (908) 277-8900.

What is Nicole Swain's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicole Swain enrolled in Medicare?

Yes. Nicole Swain 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 Nicole Swain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Swain reassigns Medicare benefits to Summit Medical Group PA (Berkeley Heights, NJ). 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 Nicole Swain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Swain accept?

Health plans from Oscar Health list Nicole Swain 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 Nicole Swain was last updated on May 8, 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.