Individual provider Active NPI

Aline Oliveira-Nicklus

  • Mental Health Counselor
  • Deerfield Beach, FL
National Provider Identifier
1437638004
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13636 Issued in FL
Practice address
700 W Hillsboro Blvd Ste 205
Deerfield Beach, FL 33441-1612
Phone
(954) 596-5284
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH13636 FL Primary

Addresses

Primary practice location

700 W Hillsboro Blvd Ste 205
Deerfield Beach, FL 33441-1612

Mailing address

700 W Hillsboro Blvd Ste 205
Deerfield Beach, FL 33441-1612
Phone (954) 596-5284

Other names 1

  • Aline Riff Queiroz de Oliveira Former name

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
MH13636FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1437638004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W HILLSBORO BLVD STE 205",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411612",
            "telephone_number": "954-596-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W HILLSBORO BLVD STE 205",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411612",
            "telephone_number": "954-596-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVEIRA-NICKLUS",
        "first_name": "ALINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALINE",
            "last_name": "RIFF QUEIROZ DE OLIVEIRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.