Nichole Randolph Jefferson, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH25740 Issued in FL

Practice address

1106 Thomasville Rd Ste 1114-a
Tallahassee, FL 32303-6278

Phone

(850) 212-6569

NPI assigned

May 19, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment NPD
• Victorious People, LLC

  • Mental Health Counselor
  • Tallahassee, FL
  • NPI 1073400024
  NPD Authorized official
• Mammha Care LLC

  • Clinical Social Worker
  • Miami, FL
  • NPI 1306507025

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1851183859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LIBERTY RD",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323273261",
            "telephone_number": "850-212-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 THOMASVILLE RD STE 1114-A",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036278",
            "telephone_number": "850-212-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "NICHOLE",
        "middle_name": "RANDOLPH",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH25740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darguy Jean
• Josue Jean
• Kaitlin Jeanis, DPT
• Andrea Jefferson
• Kristi Jefferson, LCSW
• Rebekah Darrielle Jefferson, MA, BCBA
• Saprecia Jefferson
• Jeffrey Ferraro, LLC
• Jeffrey M Rawlings
• Fuhad Mayowa Jeje

• Mental Health Counselor in Tallahassee, FL
• Providers in Tallahassee, 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 May 19, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.