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

Nicole Lv Antonacci

Individual provider Mental Health Counselor · NPI 1104580380

Nicole Lv Antonacci is a Mental Health Counselor in Niagara Falls, New York. Qualified in 2022, 4 years ago. Practices with Horizon Health Services Inc, a 144-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2021

Practice location Address checks out

2400 Pine Ave
Niagara Falls, NY 14301-2402
Phone: (716) 505-1060
Show map & directions

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

Additional practice locations (1)

  • 77 Broadway St, Buffalo, NY 14203-1642 — (716) 834-6401

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 014714 (NY)

Record details

NPI number1104580380
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 25, 2021
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address55 Dodge Rd, Getzville, NY 14068-1205

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 Horizon Health Services Inc — 144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Niagara Falls