Wilanda Nicolas, LPC in Clark, NJ - Medicare Counselor Provider

Wilanda Nicolas, LPC is a medicare enrolled "Counselor - Mental Health" provider in Clark, New Jersey. Her current practice location is 100 Walnut Ave, Clark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (917) 722-1266.

Wilanda Nicolas is licensed to practice in New Jersey (license number 37PC01129600) 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 1265206809.

Contact Information

	Wilanda Nicolas, LPC
	100 Walnut Ave, Clark, NJ 07066-1253
	(917) 722-1266
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Wilanda Nicolas
Gender	Female
Speciality	Counselor - Mental Health
Location	100 Walnut Ave, Clark, 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: 1265206809
Provider Enumeration Date: 11/14/2023
Last Update Date: 04/14/2026

Medicare PECOS Information:

PECOS PAC ID: 2769917244
Enrollment ID: I20241120002639

Medical Identifiers

Medical identifiers for Wilanda Nicolas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265206809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	37PC01129600 (New Jersey)	Primary
101YP1600X	Counselor - Pastoral	(* (Not Available))	Secondary

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. Wilanda Nicolas allows following entities to bill medicare on her behalf.

Entity Name	Counseling Center At Clark Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245637578 PECOS PAC ID: 3971990144 Enrollment ID: O20220419000848

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. Wilanda Nicolas 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
Wilanda Nicolas, LPC 100 Walnut Ave, Clark, NJ 07066-1253 Ph: (917) 722-1266	Wilanda Nicolas, LPC 100 Walnut Ave, Clark, NJ 07066-1253 Ph: (917) 722-1266

Reviews and Comments

Counselor in Clark, NJ

Mrs. Lauren Takacs, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Haliday St, Clark, NJ 07066 Phone: 908-902-5972 Fax: 848-666-7150
Valerie Sinacori, LAC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Walnut Ave Ste 200, Clark, NJ 07066 Phone: 732-605-6029
Miss Cassandra C Pestana, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 Fulton St, Clark, NJ 07066 Phone: 848-219-4716
Erika Baque, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Goodmans Xing, Clark, NJ 07066 Phone: 201-667-3855
Mary Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Brant Ave, Suite 8, Clark, NJ 07066 Phone: 908-922-3309
Ms. Cassandra Altenor, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 67 Walnut Ave Ste 207, Clark, NJ 07066 Phone: 732-982-2888
Ms. Shamere Williams, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Walnut Avenue, Suite 210, Clark, NJ 07066 Phone: 973-321-7803

Wilanda Nicolas, LPC - Medicare Counselor in Clark, NJ