Octavio Aguiar Nicholas, L.M.H.C., C.A.P.
Individual provider Active NPI Mental Health Counselor · Plantation, FL
NPI 1679889059 · NPPES record last updated Apr 30, 2014
Key facts
- NPI
- 1679889059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH10419 (FL)
- Practice address
- 351 N. State Road 7, Suite 200
Plantation, FL 33317 - Phone
- (954) 327-4060
- Fax
- (954) 792-9122
- NPI assigned
- Aug 24, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH10419 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Starting Place, Inc. | Past | Accepting new patients | |
| The Starting Place, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | MH10419 | FL | |
| Mental Health Counselor | 101YM0800X | MH10419 | FL | Yes |
Addresses
Primary practice location
351 N. State Road 7, Suite 200
Plantation, FL 33317
Mailing address
351 N. State Road 7, Suite 200
Plantation, FL 33317
Phone (954) 327-4060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006521000 | Medicaid | FL |
Other providers in Plantation, FL
- After Happily Ever After, LLC
- Syeda Areeba Afzal
- Erick Aghaian
- John Arthur Agostinelli Sr.
- Monica Agredo
- Griseldo Aguilera Sanchez
- Rhodora Aguinaldo
- Stephanie Aguirre-Barcenas
- Karen Denisse Agurcia
- Agustin a. Burgos, M.D., P.a.
All providers in Plantation, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.