Individual provider Active NPI

Joanne Nicolas, LMHC

  • Mental Health Counselor
  • Delray Beach, FL
National Provider Identifier
1154741569
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22665 Issued in FL
Practice address
14000 S Military TRL Ste 208
Delray Beach, FL 33484-2654
Phone
(239) 690-6906
NPI assigned
Apr 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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 MH22665 FL Primary

Addresses

Primary practice location

14000 S Military TRL Ste 208
Delray Beach, FL 33484-2654

Mailing address

3100 Riverside Dr Apt 110
Coral Springs, FL 33065-5509
Phone (954) 662-4037

Other practice location 1

3100 Riverside Dr Apt 110
Coral Springs, FL 33065-5509
Phone (954) 662-4037

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
I20240321003010 FL Practitioner - Mental Health Counselor 8820435183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians

Practice addresses (Care Compare)

14000 S Military TRL
Suite 208
Delray Beach, FL 33484-2654
Phone (561) 563-7110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH22665FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita Springs Retirement Village, Inc. CurrentSince May 21, 2024 Accepting new patients
Dna Comprehensive Therapy Services, LLC Mental Health CurrentSince May 21, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Feb 22, 2024 Accepting new patients

Locations

14000 S Military Trl
Ste 208
Delray Beach, FL 33484
Phone (561) 563-7110

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

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

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Organizations & group practices 3

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": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1154741569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 RIVERSIDE DR APT 110",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655509",
            "telephone_number": "954-662-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 S MILITARY TRL STE 208",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334842654",
            "telephone_number": "239-690-6906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Riverside Dr Apt 110",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330655509",
            "country_code": "US",
            "telephone_number": "954-662-4037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOLAS",
        "first_name": "JOANNE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.