Active NPI
Nicole Paolillo
- Mental Health Counselor
- Plantation, FL
National Provider Identifier
1659998334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH27142
- Practice address
- 1736 NW 81St Way
Plantation, FL 33322-5472 - Phone
- (954) 687-1079
- NPI assigned
- Jun 29, 2020
- Reactivated
- Feb 9, 2026
- Sex
- Female
- Sole proprietor
- No
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 | MH27142 | FL | Primary |
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
1736 NW 81St Way
Plantation, FL 33322-5472
Mailing address
1736 NW 81St Way
Plantation, FL 33322-5472
Phone (954) 687-1079
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Pompano |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH27142 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Virtual Therapy, PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Plantation, FL
- NPI 1427977719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1659998334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1736 NW 81ST WAY",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333225472",
"telephone_number": "954-687-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1736 NW 81ST WAY",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333225472",
"telephone_number": "954-687-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAOLILLO",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"deactivation_date": "2026-01-15",
"reactivation_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH27142",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Pompano",
"affiliation": "N",
"address_1": "3520 Oaks Way Apt 904",
"city": "Pompano Beach",
"state": "FL",
"country_code": "US",
"postal_code": "330695387",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.