Mary Nelms, CAP, ICADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2832 NE 13TH Ave
Pompano Beach, FL 33064-6805

Phone

(754) 367-6768

NPI assigned

Jul 4, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003337676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 NE 13TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646805",
            "telephone_number": "754-367-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 NE 13TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646805",
            "telephone_number": "754-367-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELMS",
        "first_name": "MARY",
        "credential": "CAP, ICADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NE 2ND Street Opco LLC
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• Michelle Negri, RCSWI
• Sergiu Neiconi
• Neil H Cohen, D.C., P.a.
• Abby Elise Nelson, COTA/L
• Vivienne Nelson, BCBA
• Joanne Nemiroff
• Jessica Nenn
• Jennefer Neolan

• Addiction (Substance Use Disorder) Counselor in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.