NICOLE WISSER (NPI# 1720458193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720458193 |
| Entity Type | Individual |
| Full Name | NICOLE WISSER |
| Credential | LSW |
| Practice Address |
176 Hepner Road Hamburg PA 19526 |
| Mailing Address |
176 Hepner Rd Hamburg PA 19526-8115 |
| Practice Telephone | 6102074163 |
| Mailing Telephone | 6102074163 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
176 HEPNER ROAD |
| City | HAMBURG |
| State | PA |
| Zip Code | 19526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457561169 | Sean Ryan Mcmenamin | Physical Therapist | Hamburg Center Old Rr 22, Hamburg, PA 19526 | 2007-05-23 |
| 1568675023 | Ricky M Massullo | Dentist | 132 S 4th St, Hamburg, PA 19526 | 2007-05-08 |
| 1275746067 | Tracy Anne Smith | Registered Nurse | 136 Southeast Drive, Hamburg, PA 19526 | 2007-05-08 |
| 1124149331 | Jean Lorraine Weller | Registered Nurse | Old Rt 22, Hamburg Center, Hamburg, PA 19526 | 2007-04-03 |
| 1013087832 | Peaceful Hearts Counseling Services Inc | Counselor | 548 Monument Road, Hamburg, PA 19526 | 2006-11-09 |
| 1467535104 | Theodore E Dando | Dentist | 303 State Street, Hamburg, PA 19526 | 2006-10-24 |
| 1932215530 | Robert Gregory Stratton Jr. | Emergency Medicine | 9 Daves Way, Hamburg, PA 19526 | 2006-08-23 |
| 1962461244 | Christine Elizabeth Deaner | Physical Therapist | 700 Hawk Ridge Dr 1, Hamburg, PA 19526 | 2006-03-23 |
| 1760469472 | Genesis Eldercare Rehabilitation Services LLC | Physical Therapist | 125 Holly Road, Laurel Center, Hamburg, PA 19526 | 2005-12-23 |
| 1437132651 | Pennsylvania Department of Human Services | Intermediate Care Facility, Mentally Retarded | 3560 Old Rte 22, Hamburg, PA 19526 | 2005-11-22 |
| Find all providers in zip 19526 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629571187 | Dawn Rydzynski | Counselor | 140 Pin St, Hamburg, NY 14075 | 2018-03-12 |
| 1245630524 | East Coast Behavioral Health | Counselor | 87 Mountain Rd, Hamburg, NJ 07419-9622 | 2014-08-24 |
| 1962829416 | Brian Michael Costello | Counselor | 5182 East Pkwy, Hamburg, NY 14075-5748 | 2014-03-22 |
| 1063923068 | Sarah Elizabeth Hetey | Counselor | 140 Pine St, Hamburg, NY 14075 | 2017-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896851 | Laurelcare South/west LLC | Counselor | 1200 Brooks Ln Ste 210, Jefferson Hills, PA 15025-3761 | 2020-09-23 |
| 1750993325 | Dennis Lee Haynes Jr. | Counselor | 3501 Forbes Ave Fl 9, Pittsburgh, PA 15213-3317 | 2020-08-17 |
| 1992314850 | Finding Her Way, LLC | Counselor | 501 Valley Brook Rd Ste 204b, Mc Murray, PA 15317-3428 | 2020-07-27 |
| 1922626035 | Jane-marie Kennedy | Counselor | 2970 Corporate Ct Ste 1, Orefield, PA 18069-3158 | 2020-07-07 |
| 1871110270 | Randy Paul Macsisak | Counselor | 451 Chew St Ste 106, Allentown, PA 18102-3412 | 2020-07-01 |
| 1215554233 | Scott T Reiman | Counselor | 1224 Whitehall Ave, Easton, PA 18045-5621 | 2020-06-26 |
| 1386269231 | Rasheeda Jackson | Counselor | 117 Rosemar St, Philadelphia, PA 19120-1922 | 2020-06-16 |
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1902420425 | Harry Shane Falwell | Counselor | 2203 W Liberty St, Allentown, PA 18104-4323 | 2020-06-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.