NICOLE TYSON LPC
NPI 1619690575
Counselor - Professional in Allentown, PA

Active since September 26, 2022PECOS Enrolled
5000 W TILGHMAN ST STE 370, ALLENTOWN, PA 18104(610) 569-0252 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Tyson Lpc NPPES

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

NICOLE TYSON LPC (NPI 1619690575) is an individual professional provider in Allentown, Pennsylvania, licensed in Pennsylvania (PC014911) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619690575
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE TYSONCredential: LPC
Location Address5000 W TILGHMAN ST STE 370Allentown, PA 18104-9176
Mailing Address736 N Arch StAllentown, PA 18104-4216
Sole ProprietorNo
Enumeration DateSeptember 26, 2022
NPPES CertifiedSeptember 24, 2022
NPI 1619690575 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 PA · PC014911
5000 W TILGHMAN ST STE 370, Allentown, PA 18104

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 Tyson 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 2

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

Counselor (Professional)
5000 W TILGHMAN ST STE 370
ALLENTOWN, PA 18104
Counselor (Professional)
5000 W TILGHMAN ST STE 370
ALLENTOWN, PA 18104

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 Tyson's NPI number?

The NPI number for Nicole Tyson is 1619690575. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Nicole Tyson located?

Nicole Tyson practices at 5000 W Tilghman St Ste 370, Allentown, PA 18104. The listed phone number is (610) 569-0252.

What is Nicole Tyson's specialty?

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

Is Nicole Tyson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Tyson was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.