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NICOLE ANN CRONQUIST LPC
NPI 1750151502
Counselor - Mental Health in Rock Hill, SC

Active since January 03, 2024PECOS Enrolled
455 LAKESHORE PKWY, ROCK HILL, SC 29730(803) 909-6363 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2024, Jan 3, 2024 (2 updates tracked since 2024).

About Nicole Ann Cronquist Lpc NPPES

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

NICOLE ANN CRONQUIST LPC (NPI 1750151502) is an individual mental health provider in Rock Hill, South Carolina, licensed in South Carolina (12285) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rock Hill, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1750151502
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE ANN CRONQUISTCredential: LPC
Location Address455 LAKESHORE PKWYRock Hill, SC 29730-4205
Mailing Address455 Lakeshore PkwyRock Hill, SC 29730-4205 · (803) 909-6363
Phone(803) 909-6363
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 3, 2024
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1750151502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in SC · 12285
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
455 LAKESHORE PKWY, Rock Hill, SC 29730
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Other Names 1

Former Name (1)Nicole Ann Glenn Lpc

Secondary Practice Location 1

Location 1199 Herlong Ave SRock Hill, SC 29732-1186 · Phone (803) 324-1800 · Fax (803) 328-2869

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Ann Cronquist Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446723027
PECOS Enrollment IDI20260625000309
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 Cronquist reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Affinity Health Center
Same address
Federally Qualified Health Center (FQHC)
455 LAKESHORE PKWY
Rock Hill, SC 29730
  • Reassigned Medicare billing, South Carolina enrollment
  • 16 clinicians in this Medicare group
NPI 1396881066 (803) 909-6363

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 20

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

HILARY ERIN HARRIS FNP
Nurse Practitioner (Family)
455 LAKESHORE PKWY
ROCK HILL, SC 29730
York County (803) 909-6363
MEREDITH MILLS LPC
Counselor (Professional)
455 LAKESHORE PKWY
ROCK HILL, SC 29730
York County (803) 909-6795
BRITTANY NICHOLE WATSON M.D.
Family Medicine
455 LAKESHORE PKWY
ROCK HILL, SC 29730
York County (803) 909-6363
LONGS DRUGSTORES OF SC INC
Pharmacy (Community/Retail Pharmacy)
455 LAKESHORE PKWY
ROCK HILL, SC 29730
York County (803) 992-3263
ELISE JORGENSEN LANEY LISW, LCAS, LCSW
Social Worker (Clinical)
455 LAKESHORE PKWY
ROCK HILL, SC 29730
York County (803) 909-6363
JAMIE JAKIA COSBY PA-C
Physician Assistant
455 LAKESHORE PKWY
ROCK HILL, SC 29730
York County (803) 909-6363
STEPHANIE M NEAL FNP
Nurse Practitioner (Family)
455 LAKESHORE PKWY
ROCK HILL, SC 29730
York County (803) 909-9083
SUSAN M COLLINS D.M.D.
Dentist
455 LAKESHORE PKWY
ROCK HILL, SC 29730
York County (803) 909-6363

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 Cronquist's NPI number?

The NPI number for Nicole Cronquist is 1750151502. It was assigned to this individual provider in the NPPES registry on January 3, 2024. The provider is also known as Nicole Ann Glenn Lpc.

Where is Nicole Cronquist located?

Nicole Cronquist practices at 455 Lakeshore Pkwy, Rock Hill, SC 29730. The listed phone number is (803) 909-6363.

What is Nicole Cronquist's specialty?

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

Is Nicole Cronquist enrolled in Medicare?

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

Which organization bills Medicare for Nicole Cronquist's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Cronquist reassigns Medicare benefits to Affinity Health Center (Rock Hill, SC). 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 Cronquist'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 Cronquist was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.