Nicole Marquiss, M.A., L.M.H.C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13070 Issued in FL

Practice address

3055 Orchard Walk LN
Green Cove Springs, FL 32043-7235

Phone

(904) 479-6220

NPI assigned

Feb 22, 2015

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1424563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1174915581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 HALCYON LN",
            "address_2": "SUITE 703",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236689",
            "telephone_number": "904-479-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 ORCHARD WALK LN",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320437235",
            "telephone_number": "904-479-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUISS",
        "first_name": "NICOLE",
        "credential": "M.A., L.M.H.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-22",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Green Cove Springs, FL
• Providers in Green Cove Springs, 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 Feb 23, 2015; 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.