Noeline Jean-Marie Coore, LCSW
Individual provider Active NPI Mental Health Counselor · Arcadia, FL
NPI 1235513680 · NPPES record last updated Apr 29, 2022
Key facts
- NPI
- 1235513680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 18501 (FL)
- Practice address
- 725 N 12TH Ave BLDG B
Arcadia, FL 34266-8752 - Phone
- (863) 494-1242
- NPI assigned
- Jul 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MCR Health Inc
Health Care Center for the Homeless Inc
Ace Behavioral Health LLC
Practice addresses (Care Compare)
12271 US Hwy 301 N
Parrish, FL 34219-8410
Phone (941) 713-2231
232 N Orange Blossom TRL
Orlando, FL 32805-1612
Phone 4074285751329
5406 Hoover Blvd
Suite 18
Tampa, FL 33634-5330
Phone (866) 770-4104
725 N 12TH Ave
B
Arcadia, FL 34266-8752
Phone (863) 494-1242
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220111002898 | FL | Practitioner - Clinical Social Worker | 2769874304 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW 9575 | FL | MD | Clinical Social Worker |
| 18501 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Current |
Accepting new patients | |
| Ace Behavioral Health LLC | Current |
Accepting new patients | |
| Citrus County Rural Health Inc | Current |
Accepting new patients | |
| MCR Health, Inc. | Current |
Accepting new patients | |
| Mtca Psychological Services P.a. | Current |
Accepting new patients |
Locations
725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242
101 Riverfront Blvd
Ste 710
Bradenton, FL 34205
927 N Citrus Ave
Crystal River, FL 34428
Phone (352) 404-5588
7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149
601 Universe Blvd
Juno Beach, FL 33408
Phone (561) 327-3800
16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
5406 Hoover Blvd
Ste 18
Tampa, FL 33634
Phone (813) 880-7577
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18501 | FL | |
| Clinical Social Worker | 1041C0700X | ISW 9575 | FL | |
| Mental Health Counselor | 101YM0800X | 18501 | FL | Yes |
Addresses
Primary practice location
725 N 12TH Ave BLDG B
Arcadia, FL 34266-8752
Mailing address
101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000
Other practice location 1
6509 65th Way
West Palm Beach, FL 33409-7126
Phone (561) 444-7649
Other practice location 2
1639 Forum Pl
Suite 7
West Palm Beach, FL 33401-2330
Phone (561) 653-6292
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Direct |
Other providers in Arcadia, FL
- Martha M Coetzee
- Elizabeth Patricia Collins
- Communication and Rehabilitation Station LLC
- Janile Contreras
- Patricia Susan Cook
- Olga J Correa
- Christopher Corriveau
- County of Desoto Board County Commissioners
- Kayla Beth Cross
- Stephen Curtis
All providers in Arcadia, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.