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

Nicole Diaz

Individual provider Mental Health Counselor · NPI 1053004085

Nicole Diaz is a Mental Health Counselor in New York, New York. Qualified in 2022, 4 years ago. Registered with an NPI since 2023.

Years since qualifying
4
In the registry since
2023

Practice location Address checks out

928 Broadway Ste 500
New York, NY 10010-8148
Phone: (833) 775-6252
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1053004085
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 26, 2023
Last updated in NPPESMay 26, 2023
Certification dateMay 26, 2023

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in New York