Nicole Deaver, LPC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH14265 Issued in FL

Practice address

33 S Main St
Winter Garden, FL 34787-3124

Phone

(828) 545-0699

Fax

(828) 333-4320

NPI assigned

Aug 8, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 19, 2024 through Dec 19, 2026

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Integrative Life Solutions LLC

  • Mental Health Counselor
  • Altamonte Springs, FL
  • NPI 1912821000
  NPD (past) Authorized official

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1740471226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 INLAND SEAS BLVD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872504",
            "telephone_number": "828-545-0699",
            "fax_number": "828-333-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 S MAIN ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873124",
            "telephone_number": "828-545-0699",
            "fax_number": "828-333-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAVER",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "8368",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104869",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria De Carvalho
• Gabriela De Franco Raineri, MD
• Rosangela De Luca Goncalo Fernandes
• Caroline De Oliveira Michelson, PT
• Maidelys De Vera Hernandez, RBT
• Joseph Francis Decesare V, RBT
• Dedicated Physical Therapy and Wellness LLC
• Larry Deffendoll II, RMHCI, LMHCA
• Amanda J Degee, APRN, PMHNP-BC
• Delaney K Leonard

• Mental Health Counselor in Winter Garden, FL
• Providers in Winter Garden, 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 Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.