Active NPI
Nicole Muscarella
- Addiction (Substance Use Disorder) Counselor
- Boynton Beach, FL
National Provider Identifier
1972219640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- ICADC.0000040
- Practice address
- 11 Kenmore LN
Boynton Beach, FL 33435-7309 - Phone
- (973) 727-4718
- NPI assigned
- Jan 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ICADC.0000040 | FL | Primary |
Addresses
Primary practice location
11 Kenmore LN
Boynton Beach, FL 33435-7309
Mailing address
6282 Dupont Station CT E Ste a
Jacksonville, FL 32217-2515
Phone (973) 727-4718
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ICADC.0000040 | FL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1972219640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6282 DUPONT STATION CT E STE A",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322172515",
"telephone_number": "973-727-4718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 KENMORE LN",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357309",
"telephone_number": "973-727-4718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSCARELLA",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-26",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "ICADC.0000040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.