Nikole Fethiere, M.ED., ED.S., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13730 Issued in FL

Practice address

3463 NW 13TH St Ste C
Gainesville, FL 32609-2172

Phone

(305) 498-0125

NPI assigned

Jul 22, 2011

Last updated

Mar 11, 2019By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dragonfly Therapy LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Gainesville, FL
  • NPI 1740781186
  NPD

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1558649772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3463 NW 13TH ST STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092172",
            "telephone_number": "305-498-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3463 NW 13TH ST STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092172",
            "telephone_number": "305-498-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETHIERE",
        "first_name": "NIKOLE",
        "credential": "M.ED., ED.S., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MH LICENSE",
            "identifier": "13730",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016249000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael John Ferrin
• Heather Ferris, APRN
• Kenneth Ferris Jr.
• Heather M Festa
• Alexander Fethiere, MD
• Jacqueline Marie Fetner, DMD
• Erica N Feuerbacher, M.S.
• George G Feussner, MD
• Fidus Paralogistics (Gemini NEMT)
• Jennifer Halley Fieber, MD

• Mental Health Counselor in Gainesville, FL
• Providers in Gainesville, 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 Mar 11, 2019; 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.