NICOLE PAN, LICENSED MENTAL HEALTH COUNSELOR, PLLC
NPI 1861897803
Counselor - Mental Health in Amityville, NY

Q: What is Nicole Pan, Licensed Mental Health Counselor, PLLC's specialty?

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

Active since November 04, 2014

21 GREENE AVE, SUITE 205, AMITYVILLE, NY 11701(631) 637-0579 Get Directions Write a Review

NPPES record last updated: May 25, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicole Pan, Licensed Mental Health Counselor, Pllc NPPES

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

NICOLE PAN, LICENSED MENTAL HEALTH COUNSELOR, PLLC (NPI 1861897803) is a healthcare organization registered as a mental health in Amityville, New York and active in the NPI registry since November 2014. The organization lists Nicole Pan, Licensed Mental Health Counselor, as its authorized official.

NPPES Registry Identity

NPI1861897803

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameNICOLE PAN, LICENSED MENTAL HEALTH COUNSELOR, PLLC

Location Address21 GREENE AVE, SUITE 205Amityville, NY 11701-2943

Mailing AddressPo Box 1245Farmingdale, NY 11735-0855 · (631) 637-0579

Phone(631) 637-0579

Organization SubpartNo

Authorized OfficialNicole PanLicensed Mental Health Counselor · (631) 637-0579

Enumeration DateNovember 4, 2014

Last NPPES UpdateMay 25, 2015

✔ NPI 1861897803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 005554

21 GREENE AVE, Amityville, NY 11701

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

LONG ISLAND FAMILIES TOGETHER, INC.

Community/Behavioral Health

21 GREENE AVE
AMITYVILLE, NY 11701

Suffolk County (631) 264-5438

NICOLE PAN LMHC

Counselor (Mental Health)

21 GREENE AVE, SUITE 205
AMITYVILLE, NY 11701

Suffolk County (631) 637-0579

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 Pan, Licensed Mental Health Counselor, PLLC's NPI number?

The NPI number for Nicole Pan, Licensed Mental Health Counselor, PLLC is 1861897803. It was assigned to this organization in the NPPES registry on November 4, 2014.

Where is Nicole Pan, Licensed Mental Health Counselor, PLLC located?

Nicole Pan, Licensed Mental Health Counselor, PLLC is located at 21 Greene Ave Suite 205, Amityville, NY 11701. The listed phone number is (631) 637-0579.

What is Nicole Pan, Licensed Mental Health Counselor, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Pan, Licensed Mental Health Counselor, PLLC was last updated on May 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.