Individual provider Active NPI

Nicole Delli Paoli, LMHC, MCAP, QS

  • Mental Health Counselor
  • Valrico, FL
National Provider Identifier
1265712673
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15313 Issued in FL
Practice address
3943 New River Hills Pkwy
Valrico, FL 33596
Phone
(813) 421-3031
NPI assigned
Aug 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MCAP100211 FL
Mental Health Counselor 101YM0800X MH15313 FL Primary

Addresses

Primary practice location

3943 New River Hills Pkwy
Valrico, FL 33596

Mailing address

PO Box 6531
Brandon, FL 33508-6009
Phone (813) 421-3031

Other practice location 1

5707 N 22nd St
Tampa, FL 33610-4350
Phone (813) 239-8069

Other practice location 2

2240 Twelve Oaks Way Ste 101
Wesley Chapel, FL 33544-6970
Phone (813) 838-4807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MCAP100211FLMDAddiction (Substance Use Disorder) Counselor
MH15313FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
As We Grow Counseling, PA CurrentSince Sep 1, 2020 Accepting new patients

Locations

2240 Twelve Oaks Way
Ste 101
Wesley Chapel, FL 33544
Phone (813) 838-4807

Organizations & group practices 1

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": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1265712673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6531",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335086009",
            "telephone_number": "813-421-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3943 NEW RIVER HILLS PKWY",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "33596",
            "telephone_number": "813-421-3031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5707 N 22nd St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336104350",
            "country_code": "US",
            "telephone_number": "813-239-8069",
            "fax_number": "813-272-3766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2240 Twelve Oaks Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335446970",
            "country_code": "US",
            "telephone_number": "813-838-4807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELLI PAOLI",
        "first_name": "NICOLE",
        "credential": "LMHC, MCAP, QS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2023-05-24",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MCAP100211",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.