Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Pan, Licensed Mental Health Counselor, PLLC

Organization Mental Health Counselor · NPI 1861897803

Nicole Pan, Licensed Mental Health Counselor, PLLC is a Mental Health Counselor in Amityville, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21 Greene Ave Ste 205
Amityville, NY 11701-2943
Phone: (631) 637-0579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 005554 (NY)

Record details

NPI number1861897803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Pan — Licensed Mental Health Counselor · (631) 637-0579
NPI enumeratedNovember 4, 2014
Last updated in NPPESMay 25, 2015
Mailing addressPo Box 1245, Farmingdale, NY 11735-0855

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