Mrs Christine Nicolello, LMHC in Havre De Grace, MD

Mrs Christine Nicolello, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Havre De Grace, Maryland. Her current practice location is 626 Revolution St, Havre De Grace, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 996-5104.

Mrs Christine Nicolello is licensed to practice in New York (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689145336.

Contact Information

	Mrs Christine Nicolello, LMHC
	626 Revolution St, Havre De Grace, MD 21078-3320
	(410) 996-5104
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Christine Nicolello
Gender	Female
Speciality	Counselor - Mental Health
Location	626 Revolution St, Havre De Grace, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689145336
Provider Enumeration Date: 12/06/2018
Last Update Date: 09/02/2025

Medicare PECOS Information:

PECOS PAC ID: 6305382102
Enrollment ID: I20240729000316

Medical Identifiers

Medical identifiers for Mrs Christine Nicolello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689145336	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LC9240 (Maryland)	Secondary
101YM0800X	Counselor - Mental Health	(New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Christine Nicolello allows following entities to bill medicare on her behalf.

Entity Name	Upper Bay Counseling & Support Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316912652 PECOS PAC ID: 3971405085 Enrollment ID: O20040121000129

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Christine Nicolello is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Christine Nicolello, LMHC 204 Timber Trl, Bel Air, MD 21014-3172 Ph: (516) 712-7074	Mrs Christine Nicolello, LMHC 626 Revolution St, Havre De Grace, MD 21078-3320 Ph: (410) 996-5104

Reviews and Comments

Counselor in Havre De Grace, MD

Ms. Elizabeth Claire Ptak, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744 Fax: 410-939-8748
Kelly Bragg, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744
Vera Alice De Toledo-powell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744
Ethel Ann Bakke, LPC, NCC, LMHC, CAP Counselor Medicare: Medicare Enrolled Practice Location: 253 Lewis Ln Ste 101, Havre De Grace, MD 21078 Phone: 321-474-4661
Allison Rosales, Counselor Medicare: Medicare Enrolled Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744
Janna Steinberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744
Keri Seitler, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744

Mrs Christine Nicolello, LMHC - Medicare Counselor in Havre De Grace, MD