| Nicole Marie Mancino, LCMC, LCMHC | |
|
21 Quail Run, New London, NH 03257-5871 | |
| (908) 917-6990 | |
| Not Available |
| Full Name | Nicole Marie Mancino |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 21 Quail Run, New London, New Hampshire |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831958750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2776 (New Hampshire) | Secondary |
| 101YM0800X | Counselor - Mental Health | 068.0135622 (Vermont) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Supportive Care Of Vermont Llc | 4688056484 | 4 |
| Entity Name | Supportive Care Of Vermont Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245969690 PECOS PAC ID: 4688056484 Enrollment ID: O20220726002274 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Mancino, LCMC, LCMHC 21 Quail Run, New London, NH 03257-5871 Ph: (908) 917-6990 | Nicole Marie Mancino, LCMC, LCMHC 21 Quail Run, New London, NH 03257-5871 Ph: (908) 917-6990 |
David L Pelletier, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 35 Newport Rd, New London, NH 03257 Phone: 603-865-1321 Fax: 603-865-1327 | |
James Bernard Esposito, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 35 Newport Rd, New London, NH 03257 Phone: 603-865-1321 Fax: 603-865-1327 | |
Aimee Y Tucker, MLADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Newport Rd, New London, NH 03257 Phone: 603-865-1327 | |
Eva H Johnson, MLADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Newport Rd, New London, NH 03257 Phone: 603-865-1321 Fax: 603-865-1327 | |
Kara Flynn Kidder, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 370 Main Street, New London, NH 03257 Phone: 603-526-4230 Fax: 603-526-6261 | |
Bruce Alexander Magoon, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 370 Main St, New London, NH 03256 Phone: 603-526-4230 | |
Ms. Kelley M Rambo, LSCSW, LPC, LCAC Counselor Medicare: Medicare Enrolled Practice Location: 35 Newport Rd, New London, NH 03257 Phone: 603-865-1321 Fax: 603-865-1327 |