Lisa Marie Nicolette, M.S., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH22494 Issued in FL

Practice address

906 Delaware Ave
Fort Pierce, FL 34950-8518

Phone

(772) 202-5661

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Locations

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.

• Wildflower Mental Health Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Pierce, FL
  • NPI 1669286688
  NPD Authorized official
• Phyllis McColister-Cunningham PA

  • Community/Behavioral Health Agency
  • Fort Pierce, FL
  • NPI 1245766807
  NPD (past)
• Phyllis McColister-Cunningham PA

  • Mental Health Counselor
  • Fort Pierce, FL
  • NPI 1912611260
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1114052289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SW CERTOSA RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531369",
            "telephone_number": "772-206-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 DELAWARE AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349508518",
            "telephone_number": "772-202-5661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Virginia Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349825882",
            "country_code": "US",
            "telephone_number": "772-448-4189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOLETTE",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin P Newman, RN
• Harvest Newton
• Nicholas Ioannou, MD, P.a.
• Dena Nichols
• Cheryl Ann Nicholson, ARNP
• Sarah Nieminen
• Mindy Lynn Niepielko, PAC
• Nikeshas Loving Touch Inc
• Ryan Nippes, BSW
• Brianna Niquette, D.P.T.

• Mental Health Counselor in Fort Pierce, FL
• Providers in Fort Pierce, 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 29, 2025; 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.