Active NPI
Nicole L Richardson, MA, LMHC, LP
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1851606677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH23501
- Practice address
- 7406 Fullerton St
Jacksonville, FL 32256-3552 - Phone
- (904) 781-5918
- Fax
- (904) 781-5918
- NPI assigned
- Aug 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | MH23501 | FL | Primary |
| Mental Health Counselor | 101YM0800X | LPC011009 | GA |
Addresses
Primary practice location
7406 Fullerton St
Jacksonville, FL 32256-3552
Mailing address
953 Fox Chaple LN
Jacksonville, FL 32221-8006
Phone (904) 307-9942
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 9480 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1851606677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "953 FOX CHAPLE LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322218006",
"telephone_number": "904-307-9942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7406 FULLERTON ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322563552",
"telephone_number": "904-781-5918",
"fax_number": "904-781-5918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "NICOLE",
"middle_name": "L",
"credential": "MA, LMHC, LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-17",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH23501",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC011009",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.