NICOLE MCILWAIN
NPI 1952092512
Counselor - Mental Health in Buffalo, NY
About Nicole Mcilwain NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE MCILWAIN (NPI 1952092512) is an individual mental health provider in Buffalo, New York, licensed in New York (013385) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Mcilwain is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Mcilwain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cheektowaga, NY 14215
- Reassigned Medicare billing, New York enrollment
- 2 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mcilwain's NPI number?
The NPI number for Nicole Mcilwain is 1952092512. It was assigned to this individual provider in the NPPES registry on May 16, 2023.
Where is Nicole Mcilwain located?
Nicole Mcilwain practices at 14 Lafayette Sq, Buffalo, NY 14203. The listed phone number is (716) 302-4545.
What is Nicole Mcilwain's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Nicole Mcilwain enrolled in Medicare?
Yes. Nicole Mcilwain is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Mcilwain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Mcilwain reassigns Medicare benefits to Clear Your Mind Mental Health Counseling Services PLLC (Cheektowaga, NY). 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 Mcilwain'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 Mcilwain was last updated on May 16, 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.
# Nicole Mcilwain · NPI 1952092512
Mental Health provider in Buffalo, New York. Individual provider, active in the CMS NPPES registry since May 16, 2023.
## Identity
- **NPI:** 1952092512 (Entity type: Individual)
- **Enumerated:** May 16, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 013385 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14 LAFAYETTE SQ, Buffalo, NY 14203-1929
- **Phone:** (716) 302-4545
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Clear Your Mind Mental Health Counseling Services PLLC (NPI 1093543688, Cheektowaga, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1952092512) · Data from the CMS NPPES public registry.