NICOLE GABRIEL
NPI 1710501481
Counselor - Professional in Philadelphia, PA

Active since May 29, 2020PECOS Enrolled
1518 WALNUT STREET, SUITE 208, PHILADELPHIA, PA 19102(215) 642-8968 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 1, 2021, May 29, 2020 (2 updates tracked since 2020).

About Nicole Gabriel NPPES

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

NICOLE GABRIEL (NPI 1710501481) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC012047) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710501481
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE GABRIEL
Location Address1518 WALNUT STREET, SUITE 208Philadelphia, PA 19102
Mailing Address11323 N Gray Boulder Ct.Tucson, AZ 85737
Sole ProprietorYes
Enumeration DateMay 29, 2020
Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration
NPPES CertifiedOctober 25, 2024
✔ NPI 1710501481 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 · PC012047
1518 WALNUT STREET, Philadelphia, PA 19102

Secondary Practice Locations 2

Location 11300 N 5th St Ste 102Stroudsburg, PA 18360-2609 · Phone (570) 424-5100
Location 2317 Dartmouth Dr., UNIT 3Marshalls creek, PA 18335 · Phone (570) 730-4211 · Fax (570) 730-4214

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Gabriel 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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Gabriel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 225 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.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
1518 WALNUT STREET, SUITE 607
PHILADELPHIA, PA 19102

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 Gabriel's NPI number?

The NPI number for Nicole Gabriel is 1710501481. It was assigned to this individual provider in the NPPES registry on May 29, 2020.

Where is Nicole Gabriel located?

Nicole Gabriel practices at 1518 Walnut Street Suite 208, Philadelphia, PA 19102. The listed phone number is (215) 642-8968.

What is Nicole Gabriel's specialty?

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

Is Nicole Gabriel enrolled in Medicare?

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

Which organization bills Medicare for Nicole Gabriel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Gabriel reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). 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 Gabriel'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 Gabriel was last updated on October 31, 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.