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NICOLE BOPP LPC
NPI 1619340478
Counselor - Mental Health in Medford, NJ

Active since November 02, 2015PECOS Enrolled
103 OLD MARLTON PIKE STE 101, MEDFORD, NJ 08055(856) 223-2222 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Bopp Lpc NPPES

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

NICOLE BOPP LPC (NPI 1619340478) is an individual mental health provider in Medford, New Jersey and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619340478
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE BOPPCredential: LPC
Location Address103 OLD MARLTON PIKE STE 101Medford, NJ 08055-8772
Mailing Address103 Old Marlton Pike Ste 101Medford, NJ 08055-8772 · (856) 223-2222
Phone(856) 223-2222
Sole ProprietorNo
Enumeration DateNovember 2, 2015
Last NPPES UpdateAugust 2, 2024
NPPES CertifiedAugust 2, 2024
✔ NPI 1619340478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
103 OLD MARLTON PIKE STE 101, Medford, NJ 08055
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Bopp 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.

Other Providers at the Same Location NPPES 12

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

ANGELA D. FRATES MD
Internal Medicine (Gastroenterology)
103 OLD MARLTON PIKE STE 101
MEDFORD, NJ 08055
Burlington County (096) 953-3440
SARA JEAN DOKHGAN LPC
Counselor (Mental Health)
103 OLD MARLTON PIKE STE 101
MEDFORD, NJ 08055
Burlington County (856) 223-2222
DANIELLE ALEXIS KASOFF MA, LAC, R-DMT, CTP,
Counselor
103 OLD MARLTON PIKE STE 101
MEDFORD, NJ 08055
Burlington County (856) 223-2222
KAREN CYBULSKY M.ED, LPC
Counselor (Professional)
103 OLD MARLTON PIKE STE 101
MEDFORD, NJ 08055
Burlington County (856) 223-2222
LAUREN DIANE JACQUEMIN
Counselor (Addiction (Substance Use Disorder))
103 OLD MARLTON PIKE STE 101
MEDFORD, NJ 08055
Burlington County (856) 223-2222
ETHAN BRUDNO LPC
Counselor (Professional)
103 OLD MARLTON PIKE STE 101
MEDFORD, NJ 08055
Burlington County (609) 314-1807
PEACEFUL PRACTICES COUNSELING LLC
Counselor (Professional)
103 OLD MARLTON PIKE STE 101
MEDFORD, NJ 08055
Burlington County (609) 439-2584
AUTUMN FRITZ LPC
Counselor (Mental Health)
103 OLD MARLTON PIKE STE 101
MEDFORD, NJ 08055
Burlington County (856) 223-2222

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 Bopp's NPI number?

The NPI number for Nicole Bopp is 1619340478. It was assigned to this individual provider in the NPPES registry on November 2, 2015.

Where is Nicole Bopp located?

Nicole Bopp practices at 103 Old Marlton Pike Ste 101, Medford, NJ 08055. The listed phone number is (856) 223-2222.

What is Nicole Bopp's specialty?

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

Is Nicole Bopp enrolled in Medicare?

Yes. Nicole Bopp is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Bopp was last updated on August 2, 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.