Nichole McKenzie

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH11541 Issued in FL

Practice address

3200 Old Winter Garden Rd Apt 1822
Ocoee, FL 34761-4539

Phone

(216) 390-1044

NPI assigned

Aug 28, 2016

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

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.

• T.H.R.I.V.E Counseling and Wellness Services LLC

  • Mental Health Counselor
  • Ocoee, FL
  • NPI 1245946672
  NPD Authorized official

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1083160337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 OLD WINTER GARDEN ROAD, APT 1822",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614539",
            "telephone_number": "216-390-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 OLD WINTER GARDEN RD APT 1822",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614539",
            "telephone_number": "216-390-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "NICHOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH11541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith McCormick, OT
• Mollie McDermit
• Katherine McDonald
• Christine A McHenry, COTA
• Tara McHugh
• Roland McLaughlin, PTA
• Cathy Celeste McLeod, LM
• Suzi Lang McQueen
• Ross Earl Meadows III, APRN
• Medfund LLC

• Mental Health Counselor in Ocoee, FL
• Providers in Ocoee, 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 Aug 28, 2016; 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.