Nicole Drake, LPC, LCADC, ACS in Keyport, NJ - Medicare Counselor Provider

Nicole Drake, LPC, LCADC, ACS is a medicare enrolled "Counselor - Mental Health" provider in Keyport, New Jersey. Her current practice location is 36 Green Grove Ave, #2, Keyport, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 693-5279.

Nicole Drake is licensed to practice in New Jersey (license number 37PC00452300) 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 1407257785.

Contact Information

	Nicole Drake, LPC, LCADC, ACS
	36 Green Grove Ave, #2, Keyport, NJ 07735-1839
	(908) 693-5279
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Drake
Gender	Female
Speciality	Counselor - Mental Health
Location	36 Green Grove Ave, Keyport, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407257785
Provider Enumeration Date: 09/05/2014
Last Update Date: 09/05/2014

Medicare PECOS Information:

PECOS PAC ID: 5193250702
Enrollment ID: I20241119004061

Medical Identifiers

Medical identifiers for Nicole Drake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407257785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	37LC00157100 (New Jersey)	Secondary
101YM0800X	Counselor - Mental Health	37PC00452300 (New Jersey)	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. Nicole Drake allows following entities to bill medicare on her behalf.

Entity Name	Counseling Center At Freehold Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013269216 PECOS PAC ID: 8820460363 Enrollment ID: O20230210000601

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. Nicole Drake 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
Nicole Drake, LPC, LCADC, ACS 36 Green Grove Ave, #2, Keyport, NJ 07735-1839 Ph: (908) 693-5279	Nicole Drake, LPC, LCADC, ACS 36 Green Grove Ave, #2, Keyport, NJ 07735-1839 Ph: (908) 693-5279

Reviews and Comments

Counselor in Keyport, NJ

Kayla Cheatum, LCSW, LCADC Counselor Medicare: Medicare Enrolled Practice Location: 114 Broad St, Keyport, NJ 07735 Phone: 848-444-5449
Ms. Marisa Anne Silva, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 117 Rte 35, Suite #5, Keyport, NJ 07735 Phone: 732-948-3297
Bridget Monaghan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 W Concourse, Keyport, NJ 07735 Phone: 908-902-0933
Alexandra Burke, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Luppatatong Ave, Keyport, NJ 07735 Phone: 732-687-8841
Ms. Karen Rose Rutt, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 99 Green Grove Ave Apt 23, Keyport, NJ 07735 Phone: 732-778-7754
Lisa Crispino, LPC LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Broad Street, Suite 106, Keyport, NJ 07735 Phone: 732-888-4480 Fax: 732-888-4485

Nicole Drake, LPC, LCADC, ACS - Medicare Counselor in Keyport, NJ