Look up the most recent NPI and PECOS records

Nicholas Wardell

Counselor

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Nicholas Wardell is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:05 AM.

Profile Details

Provider ID
1609257351
Provider Type
Individual
Full Name
Wardell, Nicholas
Credential
LMHC

Gender
Male
Sole Proprietor
No
Enumeration Date
6/17/2015
Last Updated
6/17/2015

Contact Information

Practice Location

601 Wall St, Valparaiso, IN 46383-2512

(219) 531-3500

Unlisted Fax

Mailing Location

601 Wall St, Valparaiso, IN 46383-2512

(219) 531-3500

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 39002691A Indiana

Nicholas Wardell

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Oiler-Negron, Morgan

Wasil, Patricia A

Stanfill, Whitney

Voorhees, Christopher Michael

Reuter, Rebecca

Ross, Pamela Jean

Coslet, Jessica

Quiroz, Melissa J

Dalrymple, Charles Andrew

Peiffer, Melissa