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NICOLE TERESA CIAVARELLA
NPI 1730860032
Counselor - Mental Health in White Bear Lake, MN

Active since July 28, 2023PECOS Enrolled
4756 BANNING AVE, WHITE BEAR LAKE, MN 55110(845) 826-1190 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicole Teresa Ciavarella NPPES

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

NICOLE TERESA CIAVARELLA (NPI 1730860032) is an individual mental health provider in White Bear Lake, Minnesota and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1730860032
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE TERESA CIAVARELLA
Location Address4756 BANNING AVEWhite Bear Lake, MN 55110-3205
Mailing Address523 Jackson St Unit 311Saint Paul, MN 55101-2469 · (845) 826-1190
Phone(845) 826-1190
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 28, 2023
NPPES CertifiedJuly 28, 2023
✔ NPI 1730860032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4756 BANNING AVE, White Bear Lake, MN 55110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Teresa Ciavarella is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638639107
PECOS Enrollment IDI20260903001785
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 Ciavarella reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emily Program P C
12 mi
Mental Health (Including Community Mental Health Center)
2265 COMO AVENUE, SUITE 100
St Paul, MN 55108
  • Reassigned Medicare billing, Minnesota enrollment
  • 121 clinicians in this Medicare group
NPI 1528165065 (866) 364-5977

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.

MARGARET E SUNDELL M.A., NCTMB
Specialist
4756 BANNING AVE, SUITE 217
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 653-5058

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 Ciavarella's NPI number?

The NPI number for Nicole Ciavarella is 1730860032. It was assigned to this individual provider in the NPPES registry on July 28, 2023.

Where is Nicole Ciavarella located?

Nicole Ciavarella practices at 4756 Banning Ave, White Bear Lake, MN 55110. The listed phone number is (845) 826-1190.

What is Nicole Ciavarella's specialty?

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

Is Nicole Ciavarella enrolled in Medicare?

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

Which organization bills Medicare for Nicole Ciavarella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Ciavarella reassigns Medicare benefits to Emily Program P C (St Paul, MN). 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 Ciavarella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Ciavarella accept?

Health plans from HealthPartners list Nicole Ciavarella 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 Ciavarella was last updated on July 28, 2023. 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.