NICOLE DRAKE LPC, LCADC, ACS
NPI 1407257785
Counselor - Mental Health in Keyport, NJ
About Nicole Drake Lpc, Lcadc, Acs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE DRAKE LPC, LCADC, ACS (NPI 1407257785) is an individual mental health provider in Keyport, New Jersey, licensed in New Jersey (37PC00452300) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
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
Nicole Drake Lpc, Lcadc, Acs 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 Nicole Drake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Freehold, NJ 07728
- Reassigned Medicare billing, New Jersey enrollment
- 25 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.
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 Drake's NPI number?
The NPI number for Nicole Drake is 1407257785. It was assigned to this individual provider in the NPPES registry on September 5, 2014.
Where is Nicole Drake located?
Nicole Drake practices at 36 Green Grove Ave #2, Keyport, NJ 07735. The listed phone number is (908) 693-5279.
What is Nicole Drake's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Nicole Drake enrolled in Medicare?
Yes. Nicole Drake 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 Drake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Drake reassigns Medicare benefits to Counseling Center At Freehold LLC (Freehold, 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 Drake'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 Nicole Drake was last updated on September 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Nicole Drake, LPC, LCADC, ACS · NPI 1407257785
Mental Health provider in Keyport, New Jersey. Individual provider, active in the CMS NPPES registry since September 5, 2014.
## Identity
- **NPI:** 1407257785 (Entity type: Individual)
- **Enumerated:** September 5, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 37PC00452300 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 36 GREEN GROVE AVE, #2, Keyport, NJ 07735-1839
- **Phone:** (908) 693-5279
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Counseling Center At Freehold LLC (NPI 1013269216, Freehold, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** September 5, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1407257785) · Data from the CMS NPPES public registry.