Nicole F Pizza

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT3400 Issued in FL

Practice address

900 N Swallow Tail Dr Ste 105
Port Orange, FL 32129-6103

Phone

(386) 333-9717

NPI assigned

Oct 31, 2018

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

State licenses

Practice roles

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.

• Chance 2 Change

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Daytona Beach, FL
  • NPI 1164815106
  NPD (past)
• Chance 2 Change

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bunnell, FL
  • NPI 1750708004
  NPD (past)
• Patricia Adams Counseling, LLC

  • Mental Health Counselor
  • Port Orange, FL
  • NPI 1578951596
  NPD (past)

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1376010959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N SWALLOW TAIL DR STE 105",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N SWALLOW TAIL DR STE 105",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296103",
            "telephone_number": "386-333-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZA",
        "first_name": "NICOLE",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Pickens
• Pimendent II, PA
• Cali Pinto
• Monica Piquero
• Kayla Pittman, PTA
• Carol Poirrier
• Ritish Pokhrel
• Richard Polhill, BC-HIS
• Concetta Tina A Pomroy, M.A.
• Port Orange Acupuncture LLC

• Marriage & Family Therapist in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.