Active NPI
Nikki McCarty
- Professional Counselor
- Deltona, FL
National Provider Identifier
1700269099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 517 Deltona Blvd Ste a
Deltona, FL 32725-8016 - Phone
- (386) 259-5413
- Fax
- (386) 753-9265
- NPI assigned
- Jul 4, 2015
- Last updated
- Sep 30, 2020
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
517 Deltona Blvd Ste a
Deltona, FL 32725-8016
Mailing address
2518 Preserve CT
Mulberry, FL 33860-7541
Phone (863) 934-1384
Other practice location 1
1001 E Baker St
#100
Plant City, FL 33563-3700
Phone (813) 754-5555
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida United Methodist Childrens Home, Inc. | Current | Accepting new patients | |
| Circle of Friends Services Inc | Past | Accepting new patients |
Locations
517 Deltona Blvd
Ste A
Deltona, FL 32725
Phone (386) 259-5413
Organizations & group practices 2
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.
-
dba Circle of Friends Services
- Community/Behavioral Health Agency
- Deltona, FL
- NPI 1245863331
-
- Community/Behavioral Health Agency
- Deltona, FL
- NPI 1467691873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1700269099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2518 PRESERVE CT",
"city": "MULBERRY",
"state": "FL",
"postal_code": "338607541",
"telephone_number": "863-934-1384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 DELTONA BLVD STE A",
"city": "DELTONA",
"state": "FL",
"postal_code": "327258016",
"telephone_number": "386-259-5413",
"fax_number": "386-753-9265"
}
],
"practiceLocations": [
{
"address_1": "1001 E Baker St",
"address_2": "#100",
"address_purpose": "LOCATION",
"city": "Plant City",
"state": "FL",
"postal_code": "335633700",
"country_code": "US",
"telephone_number": "813-754-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCARTY",
"first_name": "NIKKI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-04",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.