Nicole Boyce, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH15492 Issued in FL

Practice address

1416 Park Ave Ste 201
Fernandina Beach, FL 32034-1901

Phone

(904) 548-6352

Fax

(904) 548-6040

NPI assigned

Oct 19, 2017

Last updated

May 28, 2021By 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

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Niki Therapy Inc

  • Community/Behavioral Health Agency
  • Fernandina Beach, FL
  • NPI 1528731817
  Medicare reassignment
• Community Christian Counseling Center

  • Mental Health Counselor
  • Palm Beach Gardens, FL
  • NPI 1043304918
  NPD (past)

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1629589437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 PARK AVE STE 201",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341901",
            "telephone_number": "904-548-6352",
            "fax_number": "904-548-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 PARK AVE STE 201",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341901",
            "telephone_number": "904-548-6352",
            "fax_number": "904-548-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9625 N Military Trl",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334105498",
            "country_code": "US",
            "telephone_number": "561-622-5423 x4",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYCE",
        "first_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Susanne Blumer, RN, IBCLC
• Kwabena Boateng, PHARM.D.
• Marybeth Borreca
• Rene K Botsoe
• Barton Bott, MH
• Rockatonia Bradley
• Richard E. Braun, MD
• Nicholas John Bremer, M.D.
• Bridges Behavioral Consulting
• Karisa Bridwell

• Mental Health Counselor in Fernandina Beach, FL
• Providers in Fernandina Beach, 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 May 28, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.