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

Nicholos Grant, LPC

Individual provider Professional Counselor · NPI 1124858329

Nicholos Grant, LPC is a Mental Health Counselor in Wyncote, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Osh - PA Physicians Group, PC, a 114-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2024
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2401 W Cheltenham Ave
Wyncote, PA 19095-2946
Phone: (215) 444-7471
Fax: (215) 695-2935
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5750 N 12th St, Philadelphia, PA 19141-4111 — (267) 481-1671

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC017383 (PA)

Record details

NPI number1124858329
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedAugust 3, 2024
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Osh - Pa Physicians Group, Pc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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