Provider Demographics
NPI:1295097459
Name:HELMSTETTER, NICOLE-MARIE (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:NICOLE-MARIE
Middle Name:
Last Name:HELMSTETTER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-7209
Mailing Address - Country:US
Mailing Address - Phone:973-632-7144
Mailing Address - Fax:
Practice Address - Street 1:175 FAIRFIELD AVE
Practice Address - Street 2:SUITE 4 C/D
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-6425
Practice Address - Country:US
Practice Address - Phone:862-781-0621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0023701OtherAGENCY MEDICAID PROVIDER NUMBER