Individual provider Active NPI

Edward Troy Nielsen, L.M.H.C.

  • Mental Health Counselor
  • Saint Cloud, FL
National Provider Identifier
1306000203
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 7931 Issued in FL
Practice address
2029 Hickory Tree Rd
Saint Cloud, FL 34772-8906
Phone
(321) 805-4850
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH7931 FL
Mental Health Counselor 101YM0800X MH 7931 FL Primary

Addresses

Primary practice location

2029 Hickory Tree Rd
Saint Cloud, FL 34772-8906

Mailing address

2029 Hickory Tree Rd
Saint Cloud, FL 34772-8906
Phone (321) 805-4850

Other practice location 1

2029 Hickory Tree Rd
Saint Cloud, FL 34772-8906
Phone (321) 805-4850

Other identifiers 1

IdentifierTypeStateIssuer
767357400MedicaidFL

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
I20240827000830 FL Practitioner - Mental Health Counselor 7113466855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Next Step Counseling Center, LLC 3 clinicians

Practice addresses (Care Compare)

2029 Hickory Tree Rd
Saint Cloud, FL 34772-8906
Phone (321) 805-4850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH 7931FLMDMental Health Counselor
MH7931FLMDMental Health Counselor

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
The Next Step Counseling Center, LLC Mental Health CurrentSince Jul 4, 2024 Accepting new patients
Palm Tree Interventional Pain Management, PLLC PastSince Jul 4, 2024 Accepting new patients

Locations

2029 Hickory Tree Rd
Saint Cloud, FL 34772
Phone (321) 805-4850

Networks

  • Freedom Health HMO Network

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1306000203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 HICKORY TREE RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347728906",
            "telephone_number": "321-805-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 HICKORY TREE RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347728906",
            "telephone_number": "321-805-4850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2029 Hickory Tree Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347728906",
            "country_code": "US",
            "telephone_number": "321-805-4850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "EDWARD",
        "middle_name": "TROY",
        "name_prefix": "Mr.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7931",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 7931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767357400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.