Nicole Lee Pena, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW14638 Issued in FL

Practice address

6632 Pine Springs Dr
Wesley Chapel, FL 33545-4812

Phone

(516) 343-9719

NPI assigned

Oct 4, 2012

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• A & B Counseling LLC

  • In Home Supportive Care Agency
  • Fort Lauderdale, FL
  • NPI 1316400203
  NPD (past)
• Family Preservation Services

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1972808871
  NPD (past)
• Family Preservation Services of Florida, LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Metairie, LA
  • NPI 1063528560
  NPD (past)

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1528310240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6632 PINE SPRINGS DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335454812",
            "telephone_number": "516-343-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6632 PINE SPRINGS DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335454812",
            "telephone_number": "516-343-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "NICOLE",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW14638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group of Florida Inc
• Taimoor Wajid Peerzada, DMD
• Peggy J Sterling O.D.P.a.
• Robleda C Pelt, MLP-NP
• Jessica J Pena Morales, PSY.D.
• Gillian Georgette Penn, LCSW
• Jennifer E Penney, ANP, FNP
• Jordan W Peoples, D.C.
• Daihla Perard Bastien, M.D.
• Raquel M Pereda

• Mental Health Counselor in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.