Active NPI
Nicole Toque
- Counselor
- Fort Pierce, FL
National Provider Identifier
1457742520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2814 S US Hwy. #1, Ste D-4
Fort Pierce, FL 34982 - Phone
- (772) 489-4726
- Fax
- (772) 489-0423
- NPI assigned
- Feb 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2814 S US Hwy. #1, Ste D-4
Fort Pierce, FL 34982
Mailing address
3000 Indigo Bunting CT
Port St Lucie, FL 34952-3190
Phone (609) 680-4223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65-0789152 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Mental Helath | Past | Accepting new patients | |
| Suncoast Mental Health Center, Inc. | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Fort Pierce, FL
- NPI 1225046550
-
- Community/Behavioral Health Agency
- Fort Pierce, FL
- NPI 1699029017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1457742520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 INDIGO BUNTING CT",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349523190",
"telephone_number": "609-680-4223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2814 S US HWY. #1, STE D-4",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "34982",
"telephone_number": "772-489-4726",
"fax_number": "772-489-0423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOQUE",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-11",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65-0789152",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.