MS. NICHELLE VANESSA PATTERSON M.S., LCPC
NPI 1629382288
Counselor - Professional in Baltimore, MD

Q: What is Nichelle Patterson's NPI number?

The NPI number for Nichelle Patterson is 1629382288. It was assigned to this individual provider in the NPPES registry on August 5, 2010.

Q: What is Nichelle Patterson's specialty?

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

Active since August 05, 2010PECOS EnrolledAccepts Medicare Assignment

2400 KIRK AVE, BALTIMORE, MD 21218(410) 383-8300 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Nichelle Vanessa Patterson M.s., Lcpc NPPES

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

MS. NICHELLE VANESSA PATTERSON M.S., LCPC (NPI 1629382288) is an individual professional provider in Baltimore, Maryland, licensed in Maryland (LC4983) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1629382288

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. NICHELLE VANESSA PATTERSONCredential: M.S., LCPC

Location Address2400 KIRK AVEBaltimore, MD 21218-5507

Mailing Address427 Chartley Park RdReisterstown, MD 21136-2003 · (443) 257-8967

Phone(410) 383-8300

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateAugust 5, 2010

Last NPPES UpdateJune 25, 2013

✔ NPI 1629382288 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 MD · LC4983

2400 KIRK AVE, Baltimore, MD 21218

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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 and accepts Medicare assignment

Ms. Nichelle Vanessa Patterson M.s., Lcpc 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 ID3375984602

PECOS Enrollment IDI20240516003307

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 10

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

ERIKA NICOLE GONZALEZ DNP

Nurse Practitioner (Family)