Individual provider Active NPI

Nicole Ruth Reed

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1457018855
Registry record updated Jul 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH25769 Issued in FL
Practice address
7100 Plantation Rd Ste 2
Pensacola, FL 32504-6234
Phone
(850) 324-7912
NPI assigned
Nov 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2025

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 MH25769 FL Primary

Addresses

Primary practice location

7100 Plantation Rd Ste 2
Pensacola, FL 32504-6234

Mailing address

5469 Rowe TRL
Pace, FL 32571-9556

Other names 1

  • Nicole Ruth Fiser Former name

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
I20250806001873 FL Practitioner - Mental Health Counselor 8022526367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayou Wellness of Northwest Florida, LLCGroup PAC ID 4587085444, 6 clinicians

Practice addresses (Care Compare)

7100 Plantation Rd
Suite 2
Pensacola, FL 32504-6234
Phone (850) 324-7912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bayou Wellness of Northwest Florida, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

7100 Plantation Rd
Ste 2
Pensacola, FL 32504
Phone (850) 324-7912

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": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752364800000",
    "number": "1457018855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5469 ROWE TRL",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 PLANTATION RD STE 2",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046234",
            "telephone_number": "850-324-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "NICOLE",
        "middle_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH25769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "FISER",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.