Individual provider Active NPI

Nicole Baldwin, LMHC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1124688916
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16977 Issued in FL
Practice address
5340 W Kennedy Blvd Unit 313
Tampa, FL 33609-2407
Phone
(951) 581-9563
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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 16977 FL Primary

Addresses

Primary practice location

5340 W Kennedy Blvd Unit 313
Tampa, FL 33609-2407

Mailing address

5340 W Kennedy Blvd Unit 313
Tampa, FL 33609-2407
Phone (951) 581-9563

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SHAREPOINT Direct

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
I20250627002323 FL Practitioner - Mental Health Counselor 0547773103 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16977FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Families First of Florida LLC CurrentSince Jun 23, 2025 Accepting new patients
Families First of Florida PastSince Aug 8, 2021 Accepting new patients

Locations

4902 Eisenhower Blvd
Ste 315
Tampa, FL 33634

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": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1124688916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 W KENNEDY BLVD UNIT 313",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092407",
            "telephone_number": "951-581-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 W KENNEDY BLVD UNIT 313",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092407",
            "telephone_number": "951-581-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "NICOLE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "16977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SHAREPOINT",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5340 W Kennedy Blvd Unit 313",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336092407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.