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NICOLE GRANT
NPI 1922880988
Counselor - Professional in Waterbury, CT

Active since October 16, 2023PECOS EnrolledAccepts Medicare Assignment
855 LAKEWOOD RD, WATERBURY, CT 06704(888) 793-3500 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 16, 2025, Oct 16, 2023 (2 updates tracked since 2023).

About Nicole Grant NPPES

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

NICOLE GRANT (NPI 1922880988) is an individual professional provider in Waterbury, Connecticut, licensed in Connecticut (9194) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1922880988
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE GRANT
Location Address855 LAKEWOOD RDWaterbury, CT 06704-5408
Mailing Address212 Pullen AveWaterbury, CT 06708-1261 · (914) 255-3132
Phone(888) 793-3500
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 16, 2023
Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1922880988 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 CT · 9194
855 LAKEWOOD RD, Waterbury, CT 06704
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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

Nicole Grant 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 ID1951884063
PECOS Enrollment IDI20260317000455
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 20

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

NAGOYA BELTON
Social Worker
855 LAKEWOOD RD
WATERBURY, CT 06704
Naugatuck Valley Planning Region (860) 793-3500
MEGAN WHITMAN
Registered Nurse
855 LAKEWOOD RD
WATERBURY, CT 06704
Naugatuck Valley Planning Region (860) 793-3500
WHEELER CLINIC INC
Clinic/Center (Federally Qualified Health Center (FQHC))
855 LAKEWOOD RD
WATERBURY, CT 06704
Naugatuck Valley Planning Region (860) 793-3500
SKY ANYA LUKENBERG BSW
Student in an Organized Health Care Education/Training Program
855 LAKEWOOD RD
WATERBURY, CT 06704
Naugatuck Valley Planning Region (888) 793-3500
PRISCILLA DANITA ROBINSON
Counselor
855 LAKEWOOD RD
WATERBURY, CT 06704
Naugatuck Valley Planning Region (860) 793-3500
MISS DYANA TOVAR
Community/Behavioral Health
855 LAKEWOOD RD
WATERBURY, CT 06704
Naugatuck Valley Planning Region (888) 793-3500
DOMINIQUE MOSS LMSW
Social Worker
855 LAKEWOOD RD
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 695-7691
MAYA EGGLESTON
Counselor
855 LAKEWOOD RD
WATERBURY, CT 06704
Naugatuck Valley Planning Region (888) 793-3500

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 Grant's NPI number?

The NPI number for Nicole Grant is 1922880988. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Where is Nicole Grant located?

Nicole Grant practices at 855 Lakewood Rd, Waterbury, CT 06704. The listed phone number is (888) 793-3500.

What is Nicole Grant's specialty?

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

Is Nicole Grant enrolled in Medicare?

Yes. Nicole Grant is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicole Grant was last updated on December 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.