NICOLE LV ANTONACCI NPI 1104580380

NPI Information

  • NPI: 1104580380
  • Provider Name: NICOLE LV ANTONACCI
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2400 PINE AVE
    NIAGARA FALLS, NY
    ZIP 14301
  • Phone: (716) 505-1060

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NPI Details

Nicole Lv Antonacci is a mental health counselor in Niagara Falls, NY with 4 years of experience. Nicole Lv Antonacci NPI is 1104580380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2400 PINE AVE
NIAGARA FALLS, NY
ZIP 14301-402
Phone: (716) 505-1060

The NPI 1104580380 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/25/2021 and was last updated on 5/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health014714NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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