Active NPI
Nichole Parker, MS, LMFT
- Marriage & Family Therapist
- Palm Harbor, FL
National Provider Identifier
1639843188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT4281
- Practice address
- 34921 US 19 N Ste 450
Palm Harbor, FL 34684-1922 - Phone
- (727) 480-6669
- NPI assigned
- Aug 6, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MT4281 | FL | |
| Marriage & Family Therapist | 106H00000X | MT4281 | FL | Primary |
Addresses
Primary practice location
34921 US 19 N Ste 450
Palm Harbor, FL 34684-1922
Mailing address
34921 US 19 N Ste 450
Palm Harbor, FL 34684-1922
Phone (727) 480-6669
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Www.completetherapypinellas.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2214 Vance Ave
Palm Harbor, FL 34683-4943
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT4281 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Therapy Pinellas LLC | Mental Health | Current | Accepting new patients |
Locations
34921 US Highway 19 N
Ste 450
Palm Harbor, FL 34684
Phone (727) 480-6669
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Palm Harbor, FL
- NPI 1811722473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1639843188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34921 US 19 N STE 450",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841922",
"telephone_number": "727-480-6669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34921 US 19 N STE 450",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841922",
"telephone_number": "727-480-6669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "NICHOLE",
"credential": "MS, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-06",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MT4281",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT4281",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Www.completetherapypinellas.com",
"affiliation": "N",
"endpointDescription": "Practice Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Links to EHR",
"address_1": "34921 US 19 N Ste 450",
"city": "Palm Harbor",
"state": "FL",
"country_code": "US",
"postal_code": "346841922",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.