Individual provider Active NPI

Nichole Gary

  • Case Manager/Care Coordinator
  • West Palm Beach, FL
National Provider Identifier
1932516952
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2200 N Florida Mango Rd Ste 302
West Palm Beach, FL 33409-6449
Phone
(954) 483-6216
Fax
(954) 208-0462
NPI assigned
Jul 22, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2200 N Florida Mango Rd Ste 302
West Palm Beach, FL 33409-6449

Mailing address

2200 N Florida Mango Rd Ste 302
West Palm Beach, FL 33409-6449
Phone (954) 483-6216

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

OrganizationSpecialtyStatusNew patients
Palm Beach Counseling and Behavioral Health, Inc. CurrentSince Jul 24, 2022 Accepting new patients
I-Kare Health and Wellness Current Accepting new patients
I-Kare Treatment Center, LLC Current Accepting new patients

Locations

2161 Palm Beach Lakes Blvd
Ste 208
West Palm Beach, FL 33409
Phone (561) 291-9593

2200 N Florida Mango Rd
Ste 302
West Palm Beach, FL 33409
Phone (954) 483-6216

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932516952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N FLORIDA MANGO RD STE 302",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096449",
            "telephone_number": "954-483-6216",
            "fax_number": "954-208-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N FLORIDA MANGO RD STE 302",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096449",
            "telephone_number": "954-483-6216",
            "fax_number": "954-208-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARY",
        "first_name": "NICHOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.