NICOLE BALTIMORE
NPI 1578279253
Counselor - Mental Health in Garner, NC

Active since January 26, 2023PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Baltimore NPPES

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

NICOLE BALTIMORE (NPI 1578279253) is an individual mental health provider in Garner, North Carolina, licensed in North Carolina (18279) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Raleigh, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1578279253
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE BALTIMORE
Location Address503 U.S. 70Garner, NC 27529-2752
Mailing Address2909 Red Clay Dr Apt 710Raleigh, NC 27604-3573 · (919) 534-6153
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 26, 2023
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1578279253 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 NC · 18279
503 U.S. 70, Garner, NC 27529

Secondary Practice Location 1

Location 17610 Falls Of Neuse Rd Ste 290Raleigh, NC 27615-3307 · Phone (919) 321-9454

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

Nicole Baltimore 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 ID5890217798
PECOS Enrollment IDI20250320001439
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

5

Medicare enrollment records show Nicole Baltimore reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
8406 SIX FORKS RD STE 104
Raleigh, NC 27615
  • Reassigned Medicare billing, North Carolina enrollment
  • 188 clinicians in this Medicare group
Community/Behavioral Health
804 S GARNETT ST
Henderson, NC 27536
  • Reassigned Medicare billing, North Carolina enrollment
  • 21 clinicians in this Medicare group
Mental Health
1425 S GLENBURNIE RD STE 3
New Bern, NC 28562
  • Reassigned Medicare billing, North Carolina enrollment
  • 21 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, North Carolina enrollment
  • 712 clinicians in this Medicare group
Clinical
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, North Carolina enrollment
  • 108 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 Baltimore's NPI number?

The NPI number for Nicole Baltimore is 1578279253. It was assigned to this individual provider in the NPPES registry on January 26, 2023.

Where is Nicole Baltimore located?

Nicole Baltimore practices at 503 U.S. 70, Garner, NC 27529. The listed phone number is (984) 800-1020.

What is Nicole Baltimore's specialty?

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

Is Nicole Baltimore enrolled in Medicare?

Yes. Nicole Baltimore 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 Nicole Baltimore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Baltimore reassigns Medicare benefits to 5 organizations: Thriveworks Clinical - North Carolina PC (Raleigh, NC), Lavni, Inc (Henderson, NC), Second Chance Behavioral Health (New Bern, NC), Grow Healthcare Group PA (Miami, FL) and Sondermind PC (San Jose, CA). 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 Nicole Baltimore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Baltimore accept?

Health plans from Blue Cross and Blue Shield of NC, CareSource, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Nicole Baltimore 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 Baltimore was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.