{"npi":"1942767397","type":"NPI-1","status":"active","name":{"display":"Nichole Darosh M. Ed, Bsl, Lpc","other":[{"code":"1","type":"Formerly known as","value":"COCCIA, NICHOLE LYNN"}],"first":"NICHOLE","last":"DAROSH","middle":"LYNN","credential":"M. ED, BSL, LPC"},"specialty":{"primary_taxonomy":"101YP2500X","primary_taxonomy_description":"Professional Counselor","slug":"professional-counselor","schema_org_specialty":null,"all":[{"code":"101Y00000X","description":"Counselor","primary":false,"state":null,"license":null},{"code":"101YP2500X","description":"Professional Counselor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1105 BERKSHIRE BLVD OFC 110","city":"WYOMISSING","state":"PA","postal_code":"196101248","country_code":"US","phone":"6103744963","fax":"6103785403"},{"purpose":"MAILING","street_1":"1105 BERKSHIRE BLVD OFC 110","city":"WYOMISSING","state":"PA","postal_code":"196101248","country_code":"US","phone":"6103744963","fax":"6103785403"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1025045820003","state":"PA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240131001522","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"PA","pac_id":"6002269628"}]},"enumeration_date":"2019-02-21","last_updated":"2024-10-31","_meta":{"source":"NPPES","snapshot_date":"2024-10-31","doc_url":"https://findmynpi.com/api"}}