Individual provider Active NPI

Niccarra Brown, MA, LMHC

  • Professional Counselor
  • Altamonte Springs, FL
National Provider Identifier
1407564776
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH21424 Issued in FL
Practice address
473 Windmill Palm Cir
Altamonte Springs, FL 32701-3510
Phone
(704) 408-0938
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MH21424 FL Primary

Addresses

Primary practice location

473 Windmill Palm Cir
Altamonte Springs, FL 32701-3510

Mailing address

473 Windmill Palm Cir
Altamonte Springs, FL 32701-3510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20251008003608 SC Practitioner - Mental Health Counselor 3476050188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Counseling and Consulting Services LLCGroup PAC ID 2365592797, 15 clinicians

Practice addresses (Care Compare)

1721 Ebenezer Rd
Suite 225
Rock Hill, SC 29732-1119
Phone (803) 329-9639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH21424FLMDProfessional Counselor
10797SCMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Counseling & Consulting Services, LLC Mental Health CurrentSince Jul 13, 2025 Accepting new patients

Locations

100 Stone Village Dr
Ste 206
Fort Mill, SC 29708
Phone (803) 547-7120

1721 Ebenezer Rd
Ste 225
Rock Hill, SC 29732
Phone (803) 329-1520

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": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1407564776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 WINDMILL PALM CIR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 WINDMILL PALM CIR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013510",
            "telephone_number": "704-408-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NICCARRA",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH21424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.