Individual provider Active NPI

Nicole Anessa Reid, LMHC

  • Mental Health Counselor
  • Boynton Beach, FL
National Provider Identifier
1093282998
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16371 Issued in FL
Practice address
3652 S Seacrest Blvd
Boynton Beach, FL 33435-8662
Phone
(561) 814-2055
NPI assigned
Oct 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH16371 FL Primary

Addresses

Primary practice location

3652 S Seacrest Blvd
Boynton Beach, FL 33435-8662

Mailing address

11546 Tangerine Blvd
West Palm Beach, FL 33412-1862
Phone (561) 713-7715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240531002123 FL Practitioner - Mental Health Counselor 9931541299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Thrive Solutions LLCGroup PAC ID 8820522204, 2 clinicians

Practice addresses (Care Compare)

907 SE Central Pkwy
Stuart, FL 34994-3904
Phone (772) 210-4331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Thrive Solutions LLC Mental Health CurrentSince Jul 14, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 10, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

907 SE Central Pkwy
Stuart, FL 34994
Phone (772) 210-4331

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1093282998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11546 TANGERINE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121862",
            "telephone_number": "561-713-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334358662",
            "telephone_number": "561-814-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "NICOLE",
        "middle_name": "ANESSA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.