Nova Mental Health Solutions

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NOVA MENTAL HEALTH SOLUTIONS

Practice address

366 E Graves Ave Ste F
Orange City, FL 32763-5266

Phone

(407) 556-4075

NPI assigned

Apr 10, 2025

Last updated

Jun 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole King, MS, LMHCNPI 1659063527

Title

Owner

Phone

(407) 556-4075

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole King, MS

  • Mental Health Counselor
  • Orange City, FL
  • NPI 1659063527
  Medicare reassignment NPD Authorized official
• Jacqueline Rita, LMHC

  • Mental Health Counselor
  • Daytona Beach, FL
  • NPI 1598740896
  NPD (past)

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1952196099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 LAKE MAMIE RD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247217",
            "telephone_number": "407-556-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 E GRAVES AVE STE F",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327635266",
            "telephone_number": "407-556-4075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 E International Speedway Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321184662",
            "country_code": "US",
            "telephone_number": "407-556-4075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVA MENTAL HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-556-4075",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Orange City, FL
• Providers in Orange City, 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 Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.