Provider Demographics
NPI:1992469571
Name:FRISHKORN, NIKITA NAILL (MS LPC)
Entity type:Individual
Prefix:
First Name:NIKITA
Middle Name:NAILL
Last Name:FRISHKORN
Suffix:
Gender:X
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 W GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-2544
Mailing Address - Country:US
Mailing Address - Phone:724-920-4314
Mailing Address - Fax:
Practice Address - Street 1:121 ENCLAVE DR STE C
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-3207
Practice Address - Country:US
Practice Address - Phone:724-657-4325
Practice Address - Fax:724-301-1711
Is Sole Proprietor?:No
Enumeration Date:2021-10-28
Last Update Date:2024-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013836101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional