Nicole Ceusters, MS, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH20111 Issued in FL

Practice address

6700 NW 26TH Ter
Fort Lauderdale, FL 33309-1304

Phone

(561) 876-2304

NPI assigned

Sep 15, 2015

Reactivated

Jan 12, 2022

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

Other identifiers 1

Other names 1

• Gear Counseling LLC Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gear Counseling LLC

  • Mental Health Counselor
  • Fort Lauderdale, FL
  • NPI 1952043382
  NPD Authorized official

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1063881589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 NW 26TH TER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091304",
            "telephone_number": "561-876-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 NW 26TH TER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091304",
            "telephone_number": "561-876-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEUSTERS",
        "first_name": "NICOLE",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "deactivation_date": "2018-05-28",
        "reactivation_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000950352",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEAR",
            "last_name": "COUNSELING LLC",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Mental Health Counselor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.